cms_NV: 20

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
20	PERSHING GENERAL HOSPITAL SNF	295000	855 6TH STREET	LOVELOCK	NV	89419	2018-02-14	711	D	0	1	OUMW11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview and clinical record review, the facility failed to ensure a wound care order had been in place for a resident admitted with a wound, for 1 of 12 residents (Resident #18). Finding include: Resident #18 was admitted to the facility on [DATE], with a [DIAGNOSES REDACTED]. Resident #18's physician order, dated 01/24/18 for wound care and strengthening had been completed 7 days after admission to facility. Documented on the physicians order resident to be treated for [REDACTED]. On 02/14/18 at 11:26 AM, the Chief Nursing Officer (CNO) confirmed there was not an order for [REDACTED]. Resident #18's clinical record lacked documented evidence of a physician order [REDACTED]. Resident #18's physician order [REDACTED]. Wound vac to right lateral thigh wound. Physical therapist to change wound vac dressing every three days and as needed for [DIAGNOSES REDACTED]. A facility policy titled, Written, Verbal, Electronic Physician Order, effective date 06/12/14, new orders must be written for the patient upon transfer into and out of the ICU/CCU, postoperatively and at each hospital admission, regardless of frequency of admission. Further, the policy documented all orders for treatment should include the type of treatment, specific requirements of the treatment (such as wet to dry dressings, etc.) and the frequency of treatment.	2020-09-01