cms_NH: 98

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
98 MAPLE LEAF HEALTH CARE CENTER 305030 198 PEARL STREET MANCHESTER NH 3104 2019-05-03 658 D 0 1 2O0511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, review of physicians orders, manufacturers instructions and it was determined that the facility failed to follow physicians orders for 1 out of 4 residents observed during medication administration and 1 of 3 residents reviewed for pain in a final sample of 23. (Resident identifier is #17 and #57.) Findings include: 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 #57 Observation on 5/1/19 at approximately 8:20 a.m. with Staff A, Licensed Practical Nurse (LPN) during medication pass with Resident #57 revealed that Resident #57 had a [MEDICATION NAME] adhered to the lower back dated 4/30. Review on 5/1/19 of Resident #57's physicians orders revealed the following: (pronoun omitted) [MEDICATION NAME] 4% adhesive patch. Apply 1 patch topically to low back (remove after 8 hours). Apply 8 a.m. and remove 4 p.m. Interview on 5/1/19 at approximately 8:25 a.m. with Staff A revealed that the [MEDICATION NAME] should have been removed at 4:00 p.m. on 4/30. Review on 5/2/19 of the manufacturer's instructions for (pronoun omitted) [MEDICATION NAME] 4% adhesive patch revealed: . Directions . Remove patch from the skin at most 8-hour application Resident #17 Review on 5/3/19 of Resident #17's physician orders [REDACTED]. Review on 5/3/19 of Resident #17's Medication Administration Record [REDACTED]. Interview on 5/3/19 at 12:48 p.m. with Staff B (Unit Manager) confirmed the it was not documented that Resident #17's patch was removed on 4/10/19 and 4/24/19. 2020-09-01