cms_ME: 46

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
46	NEWTON CENTER	205012	35 JULY STREET	SANFORD	ME	4073	2018-12-03	760	D	1	0	TVEZ11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on closed record review and interviews, the facility failed to ensure 1 of 3 residents sampled residents was free of a significant medication error (#1). Finding: Review of Resident #1's closed medical record reveals a physician telephone order dated 11/21/18 indicating [MEDICATION NAME] 1 mg (milligram) po (oral) SL (sublingual) q (every) 2 hours prn (as necessary) and [MEDICATION NAME] 1 mg po SL q 6 hours. D/C (discontinue) [MEDICATION NAME] tablets. The medication [MEDICATION NAME] is in the form of a liquid and the dosage is as follows: 2 mg in 1 milliliter (ml), requiring that Resident #1 be administered 0.5 milliliters to equal 1 mg. Review of a facility incident report indicates that on 11/21/18 Resident #1 received 5 milliliters of the medication [MEDICATION NAME] to equal 10 milligrams in error at 14:30 (2:30 p.m.), a review of Resident #1's Medication Administration Record [REDACTED]. Review of nurses' notes dated 11/29/18 indicates late entry for 11-21-18 at 1640 (4:40 p.m.) Pt (patient) was given a larger then ordered dose of [MEDICATION NAME] @ (at) 1430 . On 12/3/18 at approximately 11:30 a.m. in an interview with a Certified Nursing Assistant/Medications (CNA/M) he/she confirms that on 11/21/18 at 14:30 5 ml's of [MEDICATION NAME] was administered to Resident #1 in error, explaining that a different syringe was used to administer the [MEDICATION NAME], the syringe was not the syringe/dropper that was provided with the medication from the manufacturer. On 12/3/18 at approximately 1:30 p.m. in an interview with the Director of Nursing he/she indicates that it is the facility policy that two staff persons (licensed staff or CNA/M's) verify the correct dose of all liquid controlled substances prior to administration, and further indicated that this was done for Resident #1 on 11/21/18 at 14:30; however, both CNA/M's incorrectly verified the dose of 5 ml's as correct, resulting in Resident #1 receiving 10 mg of [MEDICATION NAME] instead of the ordered dose of 1 mg. On 12/3/18 at approximately 2:30 p.m. the surveyor confirmed the finding in an interview with the Director of Nursing.	2020-09-01