cms_ND: 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.

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 THE MEADOWS ON UNIVERSITY 355024 1315 S UNIVERSITY DR FARGO ND 58103 2018-12-06 761 D 1 0 PNS511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, record review, review of facility policy, and staff interview, the facility failed to ensure accurate labeling of medications for 1 of 10 residents (Resident #6) observed during medication pass. Failure to have undamaged and legible medication labels may result in residents receiving the wrong medication and dose. Findings include: Review of the facility policy titled, Medication 0rdering and Receiving from Pharmacy; Medication Labels occurred on 12/06/18. This undated policy stated, . medication containers having damaged, incomplete, illegible, confusing labels are returned to the dispensing pharmacy for relabeling . in accordance with the medication destruction policy . medication labels are not altered or marked in anyway by nursing personnel . Review of resident #6's medical record occurred on all days of survey. The current physician orders included [MEDICATION NAME], inject 2-12 units subcutaneous three times a day with meals per sliding scale, and Tresiba insulin injection 10 units subcutaneous every morning. Observation on 12/06/18 at 8:18 a.m. showed a nurse (#2) administered insulin to Resident #6 with an insulin pen with the label rubbed off. The label failed to show the medication dose, open date, ordering physician, and expiration date. An interview with an administrative nurse (#1) in the afternoon of 12/06/18, agreed the necessary information on the insulin pen was illegible, and for medication error prevention, illegible insulin pen labels should be replaced per policy. 2020-09-01