cms_NV: 44
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 44 |
LEFA SERAN SNF |
295001 |
1ST AND A ST/ PO BOX 1510 |
HAWTHORNE |
NV |
89415 |
2017-10-12 |
328 |
D |
0 |
1 |
Z18S11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and clinical record review, the facility failed to administer and monitor Oxygen usage according physician orders [REDACTED].#2). Findings include: Resident #2 Resident #2 was admitted on [DATE], with [DIAGNOSES REDACTED]. On 10/09/17 at approximately 11:30 AM, Resident #2 was observed with Oxygen at 2 liters per minute (L/m) via nasal cannula. Resident #2's medication review report documented the resident was to be administered Oxygen, with a start date of 07/13/17, at 4 L/m at all times. Resident #2's Treatment Administration Records (TAR) for (MONTH) (YEAR) - (MONTH) (YEAR) lacked documented evidence the administration of Oxygen was monitored on the day shift in (MONTH) (YEAR) for 4 of 18 days, (MONTH) (YEAR) for 9 of 31 days, (MONTH) (YEAR) for 19 of 30 days and (MONTH) (YEAR) for 3 of 11 days. On 10/12/17 at 10:25 AM, a Registered Nurse (RN) confirmed Resident #2's Oxygen was at 2 L/m via nasal cannula. The RN confirmed the current physician's orders [REDACTED]. The RN verbalized the administration at 2 L/m should have been noticed by the nurse when monitoring the Oxygen. The facility policy titled Oxygen Administration Physician Orders, effective 12/08/15, documented the Five Patient Rights of Medication Administration would be followed: right person, right medication, right dose, right time, and right route. |
2020-09-01 |