cms_ID: 49

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

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rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
49	WEISER CARE OF CASCADIA	135010	331 EAST PARK STREET	WEISER	ID	83672	2018-06-15	759	D	0	1	GRQ011	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and record review, it was determined the facility failed to ensure the medication error rate was less than 5%. This was true for 2 of 25 medications (8%) which affected 1 of 7 residents (#2) whose medication passes were observed. This failure created the potential for harm when Resident #2 received doses in excess of physician orders [REDACTED]. Findings include: The facility's undated policy and procedure for nasal inhalers, sprays, and aerosols, documented the following: * Verify the physician's orders [REDACTED]. * Occlude one of the resident's nostrils, insert the tip into the open nostril and squeeze quickly and firmly one time. * Have the resident hold their breath for a few seconds then exhale through the mouth. * Repeat the ordered number of times in each nostril. Resident #2 was admitted to the facility on [DATE] with multiple diagnoses, including [MEDICAL CONDITION] reflux disease and acute sinusitis. Resident #2's physician orders, active as of 6/14/18, documented the following: * [MEDICATION NAME] Proprionate Suspension (a nasal steroid spray) 50 mcg 2 sprays each nostril twice a day for chronic rhinosinusitis. * [MEDICATION NAME] Suspension 200-200-20 mg/5 ml give 2 tsp every 6 hours as needed for stomach upset. Resident #2's (MONTH) (YEAR) MAR indicated [REDACTED] * The [MEDICATION NAME] nasal spray was administered each day from 6/1/18-6/14/18. * The [MEDICATION NAME] was administered on 6/8/18, 6/10/18, 6/12/18, and 6/14/18. On 6/14/18 at 9:19 AM, RN #1 administered medications to Resident #2. RN #1 administered two sprays of [MEDICATION NAME] nasal spray to Resident #2's right nostril and left nostril. RN #1 then administered three additional sprays of [MEDICATION NAME] to Resident #2's right nostril and two additional sprays to the left nostril. When asked how many sprays should be administered, RN #1 said it was two sprays in each nostril. When the surveyor pointed out to RN #1 that she administered 5 sprays in right nostril and 4 sprays in the left nostril, RN #1 said Oh. On 6/14/18 at 12:05 PM, RN #1 said sometimes Resident #2 appeared like he didn't sniff up all the nasal spray so she gave more sprays. RN #1 said she normally would not give that many sprays. On 6/14/18 at 9:20 AM, RN #1 administered Advanced Antacid (a generic form of [MEDICATION NAME]) 30 mls to Resident #2. On 6/14/18 at 2:50 PM, RN #1 said the order for [MEDICATION NAME] was 2 tsp, which equaled 10 mls. RN #1 said she administered 30 mls of [MEDICATION NAME] to Resident #2 and was thinking it was tablespoons.	2020-09-01