cms_NV: 59

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
59	LEFA SERAN SNF	295001	1ST AND A ST/ PO BOX 1510	HAWTHORNE	NV	89415	2019-10-16	693	D	0	1	LI3Z11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation, clinical record review, and document review, the facility failed to obtain a physician's order for maintaining a percutaneous endoscopic gastrostomy (PEG) tube, the amount of water to be administered, and the wound care required of the PEG tube site for 1 of 12 sampled residents (Resident #5). Findings Include: Resident #5 Resident #5 was admitted on [DATE] with [DIAGNOSES REDACTED]. On 10/16/19 at 9:05 AM, the Director of Nursing (DON) confirmed Resident #5 had a PEG tube. The DON verbalized an order was required for a resident with a PEG tube. The DON confirmed Resident #5's clinical record lacked an order for [REDACTED]. On 10/16/19 at 11:47 AM, the Registered Nurse (RN) verbalized the RN had just completed a wound dressing change on Resident #5's PEG tube site. On 10/16/19 at 11:49 AM, the RN explained the RN did a residual check, flushed with 30 milliliters (ml) of water, administered medication, and flushed with 30 ml of water. The RN administers the resident's [MEDICATION NAME] via the PEG tube. The RN flushed with 30 ml of water. On 10/16/19 at 11:54 AM, the RN verbalized the RN did not know how often the wound dressing needed to be changed. The RN verbalized there was no order for flushing the PEG tube for Resident #5 and explained the RN just knew the RN had to do it. On 10/16/19 at 12:08 PM, the DON verbalized the facility required an order for [REDACTED].>The facility policy titled Admission Protocol for Nursing, last revised 03/21/14, documented residents were to be admitted with clear orders from a medical provider. The facility policy titled Nasogastric/Gastrostomy Tube Feedings, effective 04/01/03, documented the facility procedure was to obtain an order for [REDACTED].>	2020-09-01