cms_NV: 40

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
40	LEFA SERAN SNF	295001	1ST AND A ST/ PO BOX 1510	HAWTHORNE	NV	89415	2017-10-12	285	E	0	1	Z18S11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to obtain an updated Pre-Admission Screening and Resident Review (PASRR) for residents with Mental Illness (MI) for 5 of 10 sampled residents (Resident #1, #2, #7, #9, and #8). Findings include: Resident #1 Resident #1 was admitted on [DATE], with [DIAGNOSES REDACTED]. The onset date of the major [MEDICAL CONDITION] was 02/11/16. Resident #1's PASRR, with a determination date of 06/05/09, documented the resident had no MI. Resident #2 Resident #2 was admitted on [DATE], with [DIAGNOSES REDACTED]. The onset date of the major [MEDICAL CONDITION] and anxiety disorder was 07/13/17. Resident #2's PASRR, with a determination date of 03/07/17, documented the resident had no MI. Resident #7 Resident #7 was admitted to the facility on [DATE] and readmitted on [DATE] with [DIAGNOSES REDACTED]. The onset date of the [MEDICAL CONDITION] and anxiety disorder was 07/13/17. Resident #7's PASRR, with a determination date of 09/10/13, documented the resident had no MI. Resident #9 Resident #9 was admitted on [DATE], with [DIAGNOSES REDACTED]. Resident #9's PASRR, with a determination date of 04/20/15, documented the resident had no MI. Resident #8 Resident #8 was admitted to the facility on [DATE] and re-admitted on [DATE], with [DIAGNOSES REDACTED]. Resident #8's Pre-Admission Screening and Resident Review (PASRR), dated 02/26/13, documented no mental illness, mental [MEDICAL CONDITION], related conditions, or dementia. The facility Roster/Sample Matrix dated 10/09/17, documented Resident #8 triggered for mental illness (non-dementia), or intellectual disability/developmental disability. Resident #8's clinical record lacked documented evidence the facility coordinated with the PASRR program to assess the resident for mental illness. On 10/11/17 at 3:30 PM, the Risk Manager explained the facility process was to establish a PASRR upon admission. The Risk Manager verbalized a new PASRR would have been requested if a resident triggered for MI and the initial PASRR did not reflect the MI status. On 10/11/17 at 3:47 PM, the Risk Manager reviewed the facility Roster/Sample Matrix which documented 18 residents with MI. The Risk Manager verbalized there was a Minimum Data Set (MDS) inaccuracy. On 10/11/17 at 5:35 PM, the Director of Nursing (DON) confirmed the facility Roster/Sample Matrix was accurate according to the residents' diagnoses. The DON explained the residents with MI triggered required a new PASRR to be obtained by the Risk Manager RN.	2020-09-01