cms_NM: 99

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
99 RIO RANCHO CENTER 325033 4210 SABANA GRANDE SE RIO RANCHO NM 87124 2019-03-07 695 E 0 1 IVL411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based upon observation, record review and interview, the facility failed to meet professional standards of care by failing to date the oxygen and nebulizer (respiration device that delivers medication) tubing for 4 (R #s 22, 28, 75 and 92) of 4 (R #s 22, 28, 75 and 92) residents reviewed for oxygen care. This deficient practice is likely to result in staff being unaware as to when the tubing should be changed and could cause tubing to become clogged or dirty leading to reduced flow of oxygen or upper respiratory infections. The findings are: Findings for R #22: [NAME] On 03/05/19 at 9:34 am, during an observation R #22's oxygen tubing, nebulizer tubing and humidifier bottle were not dated. B. On 03/07/19 at 10:49 am, during an observation R #22's oxygen tubing, nebulizer tubing and humidifier bottle were not dated. C. Record review of R #22's Physicians orders dated 02/23/19, revealed, O2 (oxygen) at 2L (liters) via nasal cannula (a device used to deliver supplemental oxygen or increased airflow to a patient or person in need of respiratory help) as needed to maintain O2 sat (saturation) > (greater than) 90% (percent) (Normal range 90-100%). Oxygen tubing change weekly label each component with date and initials. Every day shift every Saturday label each component with date and initials. D. Record review of R #22's Care Plan dated 05/31/18, revealed, (name of R #22) exhibits or is at risk for respiratory complications related to [MEDICAL CONDITION] (A group of lung diseases that block airflow and make it difficult to breathe) exacerbation (the worsening of a disease or an increase in its symptoms) and [MEDICAL CONDITION] (Longstanding disease of the kidneys leading to [MEDICAL CONDITION]). Interventions: O2 as ordered via nasal cannula (a device used to deliver supplemental oxygen or increased airflow to a patient or person in need of respiratory help). Findings for R #28: E. On 03/06/19 at 11:08 am during an observation, R #28's oxygen tubing was not dated. F. On 03/07/19 at 11:28 am during an observation, R #28's oxygen tubing was not dated. [NAME] Record review of R #28's Physicians orders dated 07/09/18 revealed, Oxygen tubing change weekly. Label each component with date and initials. Findings for R #75: H. On 03/06/19 at 12:20 pm, during an observation, R #75's oxygen tubing was not dated. I. Record review of R #75's physician's orders [REDACTED]. Label each component with date and initial. Every day shift every Monday label each component with date and initials. [NAME] Record review of R #75's care plan revised on 01/31/19, revealed, Resident has a [DIAGNOSES REDACTED]. Interventions: O2 as ordered. Findings for R #92: K. On 03/04/19 at 11:48 am, during an observation R #92's oxygen tubing, humidifier bottle or nebulizer tubing were not dated. L. On 03/07/19 at 10:50 am, during an observation R #92's oxygen tubing, humidifier bottle or nebulizer tubing were not dated. M. Record review of R #92's physician's orders [REDACTED].> 90%. Check Q (every) shift. N. On 03/07/19 at 10:55 am, during an interview Licensed Practical Nurse (LPN) #6, stated, O2 tubing should be changed once a week or more often if we see it is dirty, and it is changed by the Certified Nurse Aides (CNAs). When it is changed we put a tape on the tubing and we will write the date on the humidifier bottle. The nebulizer masks should be kept in a plastic bag when they are not in use. All of these (O2 tubing, nebulizer tubing and humidifier bottle) should have been dated. 2020-09-01