cms_NH: 69

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
69	DOVER CENTER FOR HEALTH & REHABILITATION	305018	307 PLAZA DRIVE	DOVER	NH	3820	2018-04-13	697	D	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 provide sufficient pain management to 2 residents in a standard survey sample of 22 residents. (Resident identifiers are #80 and #329.) Findings include: Resident #80 Observation on 4/12/18 at approximately 9:00 a.m. of Resident #80 revealed that Resident #80's facial expressions looked as though they were uncomfortable while laying in bed. Interview on 4/12/18 at approximately 9:00 a.m. with Resident #80 revealed that Resident #80 stated that they are not getting good pain relief from the medications that are being administered to them by the facility. Resident #80 reported that an acceptable pain level for them would be 5-6 out of 10. Review on 4/12/18 of Resident #80's (MONTH) (YEAR) Medication Administration Record [REDACTED]. Review also revealed that Resident #80 had an order for [REDACTED]. Review on 4/12/18 of Resident #80's (MONTH) (YEAR) Medication Administration Record [REDACTED]. Review on 4/12/18 of Resident #80's (MONTH) (YEAR) Medication Administration Record [REDACTED]. Interview on 4/13/18 at approximately 10:10 a.m. with Resident #80 revealed that when they complained of pain, the nurses would bring in [MEDICATION NAME], but Resident #80 stated that Resident #80 preferred [MEDICATION NAME]. Interview on 4/13/18 at approximately 1:20 p.m. with Staff F (Registered Nurse) confirmed that documentation revealed that the parameters, put in place for Resident #80's pain medications were not being followed, and that the parameters should be followed. Resident #329 Interview on 4/11/18 at approximately 1:30 p.m. with Resident #329's granddaughter revealed that Resident #329 complains of not getting relief from pain medications administered for Resident #329's back pain. Review on 4/12/18 of Resident #329's (MONTH) (YEAR) Medication Administration Record [REDACTED]. Review revealed that Resident #329 also had an order for [REDACTED].#329 had orders for [MEDICATION NAME] HCL Tablet 50 mg Give 50 mg by mouth every 6 hours as needed for moderate pain 4-7. Review on 4/12/18 of Resident #329's (MONTH) (YEAR) Medication Administration Record [REDACTED]. Review revealed that Resident #329 received [MEDICATION NAME] on 4/8/18 for a pain level of 3 and on 4/11/18 for a pain level of 4. Review also revealed that Resident #329 received [MEDICATION NAME] on 4/7/18 and 4/11/18 with no documented pain level prior to administration and that the results of the 4/11/18 administration of [MEDICATION NAME] was documented as unknown. Interview on 4/13/18 at approximately 1:20 p.m. with Staff F confirmed that there was no clear indication of when to administer [MEDICATION NAME] or [MEDICATION NAME] to Resident #329 and that documentation revealed that the parameters that were ordered were not being followed, which they should have been.	2020-09-01