cms_NH: 95

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
95	ROCHESTER MANOR	305024	40 WHITEHALL ROAD	ROCHESTER	NH	3867	2019-07-11	658	D	0	1	NENQ11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, it was determined that the facility failed to follow professional standards to ensure that a resident did not receive 4 times the dose ordered for a medication used to treat CAD ([MEDICAL CONDITION]) for 1 resident in a final survey sample of 30 residents. (Resident identifier is #43.) Findings include: Professional reference: [NAME] [NAME] Potter 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 . Observation on 7/9/19 at approximately 7:43 a.m. during medication pass revealed that Staff C (Licensed Practical Nurse) popped a [MEDICATION NAME] 40 mg (milligram) tablet from a medication card into a medicine cup. After popping the medication into the cup, Staff C put the medication card back into the medication cart drawer. Review on 7/9/19 at approximately 7:43 a.m. of Resident #43's Medication Administration Record [REDACTED]. The review also revealed that Resident #43 did not have an order for [REDACTED].>Interview on 7/9/19 at approximately 7:50 a.m. with Staff C revealed that they said that they had taken the [MEDICATION NAME] 40 mg from another resident's medication card in error. Observation on 7/9/19 at approximately 7:50 a.m. of Resident #43's medication cup revealed that Staff C, after being interviewed, reached into the medication cup and removed the [MEDICATION NAME] tablet and discarded it. Staff C then went back into the medication cart drawer and removed Resident #43's [MEDICATION NAME] 10 mg from the correct medication card and popped it into the medication cup. Interview on 7/9/19 at approximately 9:20 a.m. with Staff A (Director of Nursing) confirmed that Staff C should have been more careful in taking the right medications for each resident.	2020-09-01