cms_ID: 18

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
18	ST LUKE'S ELMORE LONG TERM CARE	135006	895 NORTH 6TH EAST	MOUNTAIN HOME	ID	83647	2018-10-12	756	D	0	1	SC7O11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review, observation, and staff interview, the facility failed to ensure the pharmacy reported medication irregularities and were addressed by the atttending physician for an antibiotic ointment for 1 of 7 residents (Resident #1) whose medication records were reviewed for unnecessary medications and/or irregularities. This failure had the potential for Resident #1 to develop resistance to the antibiotic and result in lack of efficacy of future treatments for infections. Findings include: The facility's policy Medication Use in Long Term Care, effective 04/30/18, stated a pharmacy medication regimen review will occur for each skilled nursing facility patient at least monthly. The regimen review will include all prescribed medication orders and evaluated adequate indication for use, appropriateness of ongoing therapy, medical necessity, and duration. This policy was not followed. Resident #1 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Resident #1's MAR indicated [REDACTED]. The antibiotic ointment was last administered 10/10/18 at 7:21 PM. On 10/09/18 at 12:10 PM and 3:36 PM, and on 10/10/18 at 9:00 AM, Resident #1 was not observed with visible signs of eye redness, swelling, or drainage. On 10/11/18 at 2:34 PM, the Pharmacy Director stated he was unable to find documentation regarding the discontinuation or the need for continuation of the antibiotic ointment. He stated he had a discussion with the Consultant Pharmacist regarding the notation of None for antibiotics on the monthly review. The Pharmacy Director stated there was a [DIAGNOSES REDACTED]. The Pharmacy Director stated the expectation was the continued use of the antibiotic ointment should have been addressed. On 10/12/18 at 11:28 AM, the Compliance Director stated the facility policy does not address long term use of antibiotics. On 10/12/18 at 3:42 PM, the DON stated the expectation was the antibiotic ointment was reviewed related to 4 years of continued use.	2020-09-01