cms_ID: 62

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
62	WEISER CARE OF CASCADIA	135010	331 EAST PARK STREET	WEISER	ID	83672	2016-10-21	309	D	0	1	224111	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 a) a resident received rapid acting insulin at the correct time, and that the amount of insulin administered was based on accurate blood sugar levels and b) physician orders [REDACTED]. This was true for 1 of 5 (Resident #2) residents observed during medication administration. This placed Resident #2 at risk of [MEDICAL CONDITION] when he was administered rapid acting insulin greater than one hour after the lunch meal. Findings include: Resident #2 was admitted to the facility with multiple [DIAGNOSES REDACTED]. Resident #2's physician orders, dated 10/10/16, included [MEDICATION NAME] solution 100 units/ml - Inject as per sliding scale subcutaneously before meals and at bedtime for diabetes mellitus. The sliding scale was as follows: 0-149 = 0 units 150-200 = 3 units 201-250 = 6 units 251-300 = 9 units 301-350 = 12 units 351-400 = 15 units 401-450 = 18 units For blood sugar greater than 450 give 21 units and notify the medical doctor. The FDA's specifications for use state [MEDICATION NAME] subcutaneous injections should, generally be given immediately (within 5-10 minutes) prior to the start of a meal. On 10/18/16 at 11:50 am, Resident #2's blood sugar reading was 219 mg/dl, indicating he should receive 6 units of [MEDICATION NAME] per the sliding scale. LN #6 told Resident #2 she would administer his sliding scale insulin after lunch. On 10/18/16 at 1:00 pm, LN #6 was observed to administer 6 units of [MEDICATION NAME] to Resident #2. LN #6 stated she routinely administered Resident #2's sliding scale insulin after meals. When asked if she checked Resident #2's blood sugar after lunch prior to administering the sliding scale insulin, LN #6 stated she did not and gave the sliding scale insulin based on what Resident #2's blood sugar was prior to lunch. LN #6 stated Resident #2's physician was not aware she had been holding the sliding scale insulin until after meals. LN #6 then reviewed the physician's orders [REDACTED].	2020-09-01