cms_NV: 12

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
12	PERSHING GENERAL HOSPITAL SNF	295000	855 6TH STREET	LOVELOCK	NV	89419	2020-02-12	758	D	0	1	YHGA11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, interview and document review, the facility failed to ensure behavior monitoring and Gradual Dose Reductions (GDR) were completed for three [MEDICAL CONDITION] medications for 1 of 12 sampled residents (Resident #16). Findings include: Resident #16 Resident #16 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Behavior Monitoring A physician's orders [REDACTED]. Resident #16's Care Plan dated 12/10/19, documented the resident was prescribed the [MEDICAL CONDITION] medication [MEDICATION NAME], and to monitor and record target behavior symptoms. Resident #16's clinical record lacked documented evidence monitoring and recording of behavior symptoms for [MEDICATION NAME] use were completed from 01/15/20 through 01/31/20. On 02/12/20 at 10:06 AM, the Chief Nursing Officer confirmed monitoring and recording of behavior symptoms for Resident #16's prescribed use of [MEDICATION NAME] had not been completed from 01/15/20 through 01/31/20. The facility policy titled, [MEDICAL CONDITION] Medications, updated 03/04/16, documented residents with any type of [MEDICAL CONDITION] medication use would have resident specific target behaviors monitored on an ongoing basis and be documented daily in the resident's clinical record. Gradual Dose Reductions A physician's orders [REDACTED]. A physician's orders [REDACTED]. Resident #16's Medication Administration Record's dated from 03/01/19 through 02/11/20 documented the administration of [MEDICATION NAME] 10 mg to the resident each day per the physician's orders [REDACTED].>Resident #16's Medication Administration Record's dated from 05/01/19 through 02/11/20 documented the administration of [MEDICATION NAME] Solution 1 mg/ml, 0.5 ml by mouth two times a day to the resident per the physician's orders [REDACTED].>Resident #16's clinical record lacked documented evidence a GDR was attempted or completed for the prescribed use of [MEDICATION NAME] 10 mg or [MEDICATION NAME] Solution 1 mg/ml. On 02/12/20 at 10:08 AM, the Chief Nursing Officer confirmed GDR's were not completed for Resident #16's prescribed use of [MEDICATION NAME] 10 mg or [MEDICATION NAME] Solution 1 mg/ml. The Chief Nursing Officer verbalized at least two attempts for a GDR of [MEDICATION NAME] 10 mg and one attempt for a GDR of [MEDICATION NAME] Solution 1 mg/ml should have been made. The facility policy titled, Psychoactive Tapering/Gradual Dose Reduction, approved 03/02/17, documented [MEDICAL CONDITION] medications would have GDR completed in two separate quarters within the first year of the medication administration.	2020-09-01