cms_NH: 66

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
66 DOVER CENTER FOR HEALTH & REHABILITATION 305018 307 PLAZA DRIVE DOVER NH 3820 2018-04-13 658 B 0 1 WGWA11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, it was determined that the facility failed to obtain and follow physician orders for 2 residents in a standard survey sample of 22 residents. (Resident identifiers are #66 and #185.) Findings include: Professional reference: Potter, [NAME] [NAME], and Anne Griffin Perry. Fundamentals of Nursing. 7th ed. St. Louis, Missouri: Mosby Elsevier, 2009. Page 336-Physicians' Orders The physician is responsible for directing medical treatment. Nurses follow physicians' orders unless they believe the orders are in error or harm clients. Therefore you need to assess all orders, and if you find one to be erroneous or harmful, further clarification from the physician is necessary . Resident #66 Observation on 4/11/18 at approximately 10:35 a.m. revealed that Resident #66 was using oxygen that was being administered through a nasal cannula. Review on 4/13/18 of Resident #66's Active Physician Orders revealed no physician order for [REDACTED].>Review on 4/13/18 of Resident #66's Health Status Progress note, dated 3/17/18, revealed a note which read .O2 (oxygen saturation) 92% 2L (on 2 liters) NC (nasal cannula.) Review on 4/13/18 of Resident #66's Respiratory therapy progress note, dated 3/15/18, revealed a note which read .Patient has required supplemental O2 to normalize O2 saturations . Interview on 4/13/18 at approximately 11:30 a.m. with Staff [NAME] (Respiratory Therapist) confirmed that there should have been a physician order in place for Resident #66's use of oxygen. Resident #55 Review on 4/13/18 at 8:56 am of the physician orders dated 3/28/18 revealed an order for [REDACTED]. Review on 4/13/18 at approximately 9:00 am of Resident #55's progress notes revealed the following: on 4/9/18 the resident was receiving O2 at 3 LPM, on 4/8 the resident was receiving O2 at 4 LPM, on 4/6/18 the resident was receiving O2 at 3 LPM, on 4/5/18 the resident was receiving O2 at 3 LPM, on 4/3/18 the resident was receiving O2 at 3 LPM, and on 4/2/18 the resident was receiving O2 at 3 LPM. Interview with Staff A (Director of Nursing) on 4/13/18 at approximately 2:15 pm confirmed the above findings. 2020-09-01