cms_ID: 58

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
58	WEISER CARE OF CASCADIA	135010	331 EAST PARK STREET	WEISER	ID	83672	2016-10-21	176	D	0	1	224111	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident and staff interview, review of facility policies, and record review it was determined the facility failed to ensure 1 of 2 (#19) random residents was assessed to safely self-administer medications. This deficient practice created the potential for medication errors and harm if Resident #19 did not take his medications timely. Findings include: Resident #19 was admitted to the facility with multiple [DIAGNOSES REDACTED]. Physician orders, dated (MONTH) (YEAR), included: * Aspirin 81 mg tablet once a day for the heart * [MEDICATION NAME] Extended Release (ER) 20 meq by mouth every day as a supplement * [MEDICATION NAME] HCl 2 mg once a day for pain * [MEDICATION NAME] 100 mg give half a tablet once a day for [MEDICAL CONDITION] Resident #19's physician orders [REDACTED]. The facility's Self-Administration of Medications policy documented, if the Interdisciplinary Team (IDT) and the attending physician determine the resident is safe to self-administer medications a physician order [REDACTED]. The licensed nurses are responsible for following-up with the resident to validate the resident has taken the medication and should be documented on the resident's Medication Administration Record [REDACTED]. On 10/18/16 at 10:15 am, LN #4 was observed to dispense the above medications into a medication cup and enter Resident #19's room. Resident #19 refused to take the medications and stated, You know that I don't take my medications this early. He directed the nurse to place the dispensed medication in his lock box located in the closet. When the nurse asked him if he had the key for the box Resident #19 stated, No it is in my sock drawer. LN #4 was observed to remove the key from the drawer, unlock the box, place the medication inside the box, lock the box, and return the key to the sock drawer. Resident #19 stated he would take them later. The Electronic Medication Administration Record [REDACTED]. On 10/18/16 at 10:20 am, LN #4 stated Resident #19 was cognitively aware and he could identify each medication and the reason for taking them. LN #4 stated she locked Resident #19's medications in his box every day and he would take them during the day. LN #4 stated Resident #19 kept the key with him until he took all of his medications and then placed the key back in the drawer.	2020-09-01