cms_NM: 28

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
28 SANTA FE CARE CENTER 325030 635 HARKLE ROAD SANTA FE NM 87505 2017-09-21 281 D 0 1 FY1511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview, and observation the facility failed to meet professional standards of quality when the staff failed to clarify conflicting MEDICATION ORDERS FOR [REDACTED]#140, R #180, R #194 and R #196) surveyed for medication reconciliation with the medication pass. This deficient practice could result the resident not receiving the right medication. The findings are: [NAME] On 09/21/17 at 8:19 am, during medication pass observation, LPN #4 administered a medication from a bubble pack labeled metoproplol [MEDICATION NAME] (an immediate release antihypertenisve medication) 25 mg tab (tablet) to R #54. The Medication Administration Record [REDACTED]. B. On 09/21/17 at 8:30 am, during an interview with LPN #4, when asked about the difference between the bubble pack ([MEDICATION NAME]) and the MAR ([MEDICATION NAME] ER) she said, Well, they are both [MEDICATION NAME]. No problem. C. Record review of the local hospital's Transfer Orders dated 03/21/17 revealed an order for [REDACTED].>D. Record review an actual prescription dated 03/21/17 revealed an order for [REDACTED]. E. Record review of the facility Physician Orders, dated (MONTH) (YEAR), revealed an order for [REDACTED].>F. On 09/21/17 at 10:46 am, during an interview with the Director of Nurses, when asked about the discrepancy between the medication LPN #4 gave, the medication on the MAR, the Physician order [REDACTED].#54, he stated, The nurse should have stopped, noticed the difference in the orders and called (the physician) for clarification. [NAME] Review of the facility procedure Medical Administration Orals, Section 7.5, dated 12/12 (sic) revealed: Procedures: 5. Review and confirm MEDICATION ORDERS FOR [REDACTED] H. Review of 2014 Lippincott Manual of Nursing Practice - 10th Ed. Philadelphia, P[NAME] Lippincott[NAME] & Wilkins. ISBN-10: 1-4511-7354-7, ISBN-13: 978-1-4511-7354-3. STAT!Ref Online Electronic Medical Library. http://online.statref.com/Document.aspx?fxId=485&docId=7. 12/13/2016 4:31:58 PM CST (UTC -06:00). Common Departures from the Standards of Nursing Care: Legal claims most commonly made against professional nurses include the following departures from appropriate care: failure to assess the patient properly or in a timely fashion, follow physician orders, follow appropriate nursing measures, communicate information about the patient, adhere to facility policy or procedure, document appropriate information in the medical record, administer medications as ordered, and follow physician's orders [REDACTED]. 2020-09-01