cms_ID: 36

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
36	BINGHAM MEMORIAL SKILLED NURSING & REHABILITATION	135007	98 POPLAR STREET	BLACKFOOT	ID	83221	2016-06-17	281	D	0	1	J25411	Based on observation, record review and staff interview, it was determined the facility failed to ensure professional standards of practice during medication administration were observed for 1 of 4 nurses reviewed for medication administration (LN #7). This directly impacted 2 of 4 residents (#12 and #13) sampled for medication administration. This resulted in residents' medications being pre-signed as given prior to actual administration. The practice placed residents at increased risk of adverse outcomes due to medication errors. Findings include: On 6/13/16 at 7:00 am, LN #7 was observed during medication administration to Resident #12 and Resident #13. LN #7 was observed to take the medication out of the cart, check the medication with the MAR, and then sign off the medication as given on the MAR. LN #7 then removed the medications from the cards and/or containers and administered the medications to the residents. Resident #12 was administered 16 different medications and Resident #13 was administered 12 different medications. During the observation, LN #7 was asked if those were her initials on the MAR for the medication she was about to administer. LN #7 confirmed her initials. The facility's Medication Administration Policy, dated 6/13/16, documented Medications are not signed off until the resident has received and/or swallowed the medication. Nursing: Scope and Standards of Practice (American Nurses Association, 2010), require documentation after the medication has been administered to avoid medication errors.	2020-09-01