cms_MS: 33

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.

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
33 LEXINGTON MANOR SENIOR CARE, LLC 255091 56 ROCKPORT ROAD LEXINGTON MS 39095 2017-06-28 332 D 0 1 YQ7Y11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, staff interviews, and the facility policy review, the facility failed to maintain a less than five (5) percent (%) medication error rate for two (2) of 34 medications administered, which caused an error rate of 5.8%, as evidenced by failure to wait at least five (5) minutes between eye drops for Unsampled Resident D. Findings include: Review of the facility's Specific Medication Administration Procedures policy, with an effective date of 05/01/2009, revealed K. Wait at least five (5) minutes before applying additional medication to the eye. Review of the Nursing (YEAR) Drug Handbook, page 233, for [MEDICATION NAME] eye drops, revealed, If more than on ophthalmic product is being used, give them at least five (5) minutes apart. Page 468 of the Nursing (YEAR) Drug Handbook, for Dorzolamide eye drops, revealed if more than one ophthalmic drug was being used, give at least 10 minutes apart. During medication pass observation on 6/27/2017 at 8:30 AM, Licensed Practical Nurse (LPN) #5 administered eye drops for Unsampled Resident D. LPN #5 placed one (1) drop of Dorzolamide ([MEDICATION NAME]) into each eye. LPN #5 then placed an addition drop of [MEDICATION NAME] at 8:32 AM, into each eye. The time sequence between eye medications was two (2) minutes. Review of the (MONTH) (YEAR) Physician Orders, for Unsampled Resident D, revealed an order dated 2/10/2015, for [MEDICATION NAME] for one (1) drop into both eyes twice a day and an order dated 4/10/2015, for Dorzolamide ([MEDICATION NAME]) one (1) drop in each eye twice a day. Interview on 6/27/2017 at 8:35 AM, with LPN #5, revealed she had not waited five (5) minutes between the eye medications but stated she should have. Registered Nurse (RN) #2, was also present during the administration of the eye medications, and when asked if giving both eye medications close together was a problem, she stated, I don't even know what they were. Interview on 6/28/2017 at 2:40 PM, with LPN #3, revealed there had been no in-service specific for eye drop administration. Interview on 6/28/2017 at 3:00 PM, with the Registered Pharmacist Consultant, revealed the statement, I tell them to wait five (5) minutes between eye drops. 2020-09-01