cms_NV: 10

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
10	PERSHING GENERAL HOSPITAL SNF	295000	855 6TH STREET	LOVELOCK	NV	89419	2020-02-12	644	D	0	1	YHGA11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, clinical record review and document review, the facility failed to complete a pre-admission screening and resident review (PASARR) level II screening for a resident with a [DIAGNOSES REDACTED].#18). Findings include: Resident #18 Resident #18 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The clinical record for Resident #18 contained a PASARR level I screening, dated 12/20/17. The level I screening documented Resident #18 had no mental illness. On 02/10/20 at 3:40 PM, the Licensed Social Worker (LSW) provided a PASARR level I screen for Resident #18 dated 02/05/19. The PASARR documented Resident #18 had a mental health [DIAGNOSES REDACTED]. The electronic communication between the facility social worker and the Medicaid social worker, dated 02/08/19, documented the Medicaid social worker had requested information from the facility including IQ testing from the resident's primary psychiatrist and the name of the resident's caseworker for the resident's diagnosed intellectual disability. The electronic communication from the Medicaid social worker, dated 03/22/19, documented there had been no response from the facility since 02/08/19. On 02/12/20 at 9:26 AM, the Chief Nursing Officer verbalized the PASSAR level II screen had not been completed and there was no documentation of further communication from the facility to the Medicaid social worker. The facility policy titled PASRR Pre-admission Screening and Resident Review, undated, documented the PASARR process required all applicants to Medicaid-certified nursing facilities would be given a preliminary assessment to determine whether they had a serious mental illness or intellectual disability. Those individuals who tested positive at a Level I screen would then be evaluated in depth, called a Level II PASARR. The results of the Level II screen would determine need, appropriate setting, and would provide a set of recommended services to inform the individuals plan of care.	2020-09-01