cms_NH: 81

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
81 EDGEWOOD CENTRE (THE) 305022 928 SOUTH STREET PORTSMOUTH NH 3801 2017-02-10 329 D 0 1 FQ0H11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview it was determined that the facility failed to adequately monitor residents with identified target behaviors for the effects and potential adverse consequences of antipsychotic medications for 2 of 2 residents receiving antipsychotic medications in a survey sample of 22 residents. (Resident identifiers are #3 and #5.) Findings include: Resident #5. Record review on 2/7/17 and 2/8/17 of the MEDICATION ADMINISTRATION RECORD (MAR) for Resident #5 dated 1/1/17 and 2/1/17 revealed the following physician orders [REDACTED]. [MEDICATION NAME] 12.5 mg by mouth every morning and at bedtime related to Hallucinations [MEDICATION NAME] 0.5 mg by mouth every 4 hours as needed for [MEDICAL CONDITION]/restlessness PRN (as needed) [MEDICATION NAME] 12.5 mg by mouth every 24 hours as needed for distressing hallucinations PRN. Review of the (MONTH) MAR revealed the following physician orders: [MEDICATION NAME] 0.5 mg by mouth every 4 hours as needed for [MEDICAL CONDITION]/restlessness PRN [MEDICATION NAME] 12.5 mg by mouth every 24 hours as needed for distressing hallucinations PRN. Further record review showed no documented evidence of ongoing monitoring with an identified target behavior for the prescribed antipyschotic medications listed above for Resident #5. During interview on 2/8/17 at approximately 4:45 p.m. with Staff A (Registered Nurse) after Staff A reviewed the above listed physician orders, the (MONTH) and (MONTH) MAR and computer E-MAR (Electronic Medication Administration Record), Staff A stated that there was no documented evidence of ongoing monitoring with an identified target behavior for the prescribed antipsychotic medications for Resident #5 during the months of (MONTH) and (MONTH) (YEAR). Resident #3 Record review on 2/7/17of the MAR dated 2/1/17-2/28/17 revealed the following physician orders [REDACTED]. There was no documented evidence of behavior monitoring in the medical record or the MAR with an identified target behavior for the prescribed antipsychotic medications. 2020-09-01