cms_NM: 56

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
56 SANDIA RIDGE CENTER 325032 2216 LESTER DRIVE NE ALBUQUERQUE NM 87112 2018-03-14 757 G 0 1 YN7D11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to provide a drug regimen that was free from unnecessary medication, duplicate medication, or medication that had an appropriate [DIAGNOSES REDACTED].#38) of 6 (R#s 38, 9, 18, 38, 104, 119) residents reviewed for unnecessary medication. This deficient practice likely contributed to R #38's dehydration and malnourishment and caused R #38 to have moisture associated skin breakdown, eventually returning to the hospital and prolonging and complicating her recovery. The findings are: [NAME] Record review of the Admission Record indicated that R #38 had a [DIAGNOSES REDACTED]. B. Record review of the R #38's physician's orders [REDACTED]. C. Record review of R #38's physician's orders [REDACTED]. D. Record review of the Medication Administration Record [REDACTED]. E. Record review of the MAR for the month of the (MONTH) (YEAR) indicated that R #38 received 16 out of 18 doses of the [MEDICATION NAME] medication and 15 out of 18 of the Sennosides medication. R #38 refused one dose of [MEDICATION NAME] on 02/03/18 and refused again on 02/09/18. On 02/03/18 R #38 refused both doses of the Sennosides medication and refused one dose on 02/09/18. F. Record review of the Activities of Daily Living (ADL) flowsheet dated 01/29/18 indicated that R #38 had several days of loose stools, some entries are noted as soft formed and some are watery. Entries from the ADL flowsheet from 02/01/18 to 02/09/18 indicated that R #38 had watery stools daily. [NAME] Record review of the Minimum Data Set ((MDS) dated [DATE], section I, indicated that R #38 had a [DIAGNOSES REDACTED]. H. Record review of the care plan dated 12/25/17 and revised on 01/17/18 indicated that there was not a care plan focus or intervention for R #38's diarrhea and malnutrition. I. Record review of the (Name of Healthcare Facility), History and Physical Report indicated that R #38 was admitted to the emergency room (ER) on 02/09/18 for softball sized abdominal mass, a 14 pound weight loss, altered mental status. While in the ER, R #38 was noted to have an Acute Kidney Injury (AKI) [MEDICAL CONDITION] (an infection) from a Urinary Tract Infection [MEDICAL CONDITION]. The History and Physical also indicated that R #38 had a past medical history to include Chronic Diarrhea. [NAME] On 03/08/18 at 4:42 pm, during an interview with Licensed Practical Nurse (LPN) #4, she stated that R #38 wasn't eating or drinking fluids. Or at least not enough fluids. LPN #4 stated that she did appear dehydrated due to dry skin, lips were cracked, poor skin turgor. She was incontinent and had diarrhea. She stated that when R #38 was incontinent she would hold her [MEDICATION NAME]. She also stated that R #38 had an open wound on her coccyx (tailbone) because of the incontinence. A foam dressing was being placed along with barrier cream. K. On 03/09/18 at 8:26 am, during an interview with CNA #13, he stated that R #38 never ate or drank much. He stated that her stools weren't loose all the time but that she did have loose stools. They would offer her drink supplements and she would drink a little of that. L. On 03/09/18 at 10:15 am, during an interview with Director of Nurses (DON), she stated that the pharmacist had not reviewed R #38 since she arrived on 12/22/17. She stated that the pharmacist had not been in for this month (March (YEAR)) but he would be conducting a Medication Regimen Review for R #38. M. On 03/12/18 at 9:12 am, during an interview with the DON, she confirmed that on the ADL flowsheet R #38 was having constant watery stools for (MONTH) (YEAR). She also stated that if a resident was having constant watery stools they should not be getting stool softeners. This could cause skin breakdown and diarrhea depending on fluid intake. The reason that stool softeners are usually prescribed is for those residents on opiod (are primarily used for pain relief) medications. N. On 03/14/18 at 9:10 am, during an interview with CNA #14, she stated that R #38 had a red bottom with severe diarrhea 3 or 4 times per shift. She also stated that R #38 was not drinking any fluids and not eating. She stated that they (the CNAs) were telling the nurses about the poor intake, the redness and the diarrhea. 2020-09-01