cms_DC: 76

In collaboration with The Seattle Times, Big Local News is providing full-text nursing home deficiencies from Centers for Medicare & Medicaid Services (CMS). These files contain the full narrative details of each nursing home deficiency cited regulators. The files include deficiencies from Standard Surveys (routine inspections) and from Complaint Surveys. Complete data begins January 2011 (although some earlier inspections do show up). Individual states are provides as CSV files. A very large (4.5GB) national file is also provided as a zipped archive. New data will be updated on a monthly basis. For additional documentation, please see the README.

Data source: Big Local News · About: big-local-datasette

This data as json, copyable

rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
76	SERENITY REHABILITATION AND HEALTH CENTER LLC	95015	1380 SOUTHERN AVE SE	WASHINGTON	DC	20032	2018-07-20	758	D	0	1	L7I811	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview for two (2) of 56 sampled residents, the physician failed to respond to the pharmacist's recommendation to evaluate Resident #65's use of [MEDICATION NAME] with a [DIAGNOSES REDACTED]. Findings included . The physician failed to acknowledge and/or respond to the pharmacist's recommendation for the resident's use of the following medications: [REDACTED]. Resident #65. Resident #65 was admitted to the facility on (MONTH) 2, (YEAR), with [DIAGNOSES REDACTED]. Review of the physician's orders [REDACTED]. The pharmacist reviewed the resident's medications and made the following recommendations to the physician: On (MONTH) 3, (YEAR), Suggest PRN (as needed) [MEDICATION NAME] include an end date. On (MONTH) 24, (YEAR) ,Please eval (evaluate) [MEDICATION NAME] (with) Dementia dx (diagnosis) On (MONTH) 26, (YEAR), Please evaluate PRN [MEDICATION NAME] per CMS 14 day regulation; and Vitamin D Level suggested with 50,000 Units ordered weekly. The Consultant Pharmacist Inspection Report form contains the pharmacist's recommendation, three boxes (Agree), (Disagree) and (Other), designated for the Physician/Prescriber's response, an area for comment(s) and an area for the physician's signature and date to indicate when the form was signed. The form was left blank in all the designated areas. In addition, review of the physician's total plan of care failed to show any evidence that the physician acknowledged and/or responded to the pharmacist's recommendation. A face-to-face interview was held with Employee #2 at approximately 11:00 AM on (MONTH) 16, (YEAR). The employee was asked about the process for reviewing the MRR forms. The employee stated that the forms are placed on the residents' charts. The physicians usually review the recommendations, check the appropriate responses and sign the forms to respond and acknowledge receipt of the recommendations. The physician failed to acknowledge and/or respond to the pharmacist's recommendation to evaluate Resident # 65's use of [MEDICATION NAME] and Vitamin D. Employee #5 acknowledged the finding.	2020-09-01