cms_NV: 60

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
60	LEFA SERAN SNF	295001	1ST AND A ST/ PO BOX 1510	HAWTHORNE	NV	89415	2019-10-16	711	D	0	1	LI3Z11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, clinical record review and document review, the facility failed to ensure the physician completed the progress notes with each visit to reflect the medication review, assessment and plan of care for 1 of 12 sampled residents (Resident #14). Findings include: Resident #14 Resident #14 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident #14 had been seen by the attending physician on 07/05/19 and 09/13/19. Resident #14's physician progress notes [REDACTED]. Chief complaint-none recorded Under vitals- Oxygen saturation level missing allergies [REDACTED]. Medications-not reviewed (last reviewed 08/30/18) History of the present illness (HPI)- see point click care Assessment/Plan -none recorded The encounter was electronically signed by the physician on 07/11/19. Resident #14's physician progress notes [REDACTED]. Chief complaint-none recorded allergies [REDACTED]. Medications-not reviewed (last reviewed 08/30/18) HPI- see point click care Assessment/Plan -none recorded The note was electronically signed by the physician on 09/26/19. On 10/15/19 at 2:45 PM, the Director of Nursing (DON) followed the physician's instruction to retrieve the HPI and additional information from the electronic system and found two blank physician visit notes called draft. The DON verbalized the facility did not have physician's progress notes for Resident #14's visits on 07/05/19 and 09/14/19 reflecting medication review, assessment and plan of care. The facility policy titled, Physician Visits and Medical Orders, effective 11/17, documented physicians had to write, sign and date program notes at each visit.	2020-09-01