cms_ID: 13

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
13 ST LUKE'S ELMORE LONG TERM CARE 135006 895 NORTH 6TH EAST MOUNTAIN HOME ID 83647 2017-07-27 431 D 0 1 V9TA11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and staff interview, it was determined the facility failed to ensure medications were labeled in accordance to Federal and State regulations and that discontinued medications were removed from the medication cart. This was true for 2 of 17 medication bins checked for labeled and discontinued medications. This failed practice created the potential for residents to receive medications not ordered for them and to receive medication that had been discontinued. Findings include: On [DATE] at 2:00pm, a resident's medication bin had a bottle of Nitrostat 0.4 mg that did not have a pharmacy label which identified the medication, strength, expiration date, resident 's name, route of administration, appropriate instructions or precautions (such as shake well, with meals, do not crush, special storage instructions). A tube of Nystatin creme, found in the same bin, had the name of the medication and the resident's name was handwritten on a piece of paper and taped to the tube. It did not have a pharmacy label that identified the medication, strength, expiration date, resident's name, route of administration, appropriate instructions or precautions (such as shake well, with meals, do not crush, special storage instructions). The resident's medical record documented the Nystatin creme had been discontinued on [DATE], however, the tube remained in the resident's medication bin. On [DATE] at 2:00 pm, LN #1 stated a pharmacist checked the medication cart each morning and removed expired and discontinued medications from the residents' medication bins. LN #1 stated she did not know why the medications were not labeled or why the discontinued medication was not removed. LN #1 stated they should have been labeled and/or removed when discontinued. On [DATE] at 2:30 pm, the Director of Nursing stated pharmacy labels would be common practice. The Pharmacist stated the labels should be on the medications. The Pharmacist stated he did not know why the discontinued medication was not removed from the resident's medication bin. 2020-09-01