cms_NV: 63

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
63 LEFA SERAN SNF 295001 1ST AND A ST/ PO BOX 1510 HAWTHORNE NV 89415 2019-10-16 761 D 0 1 LI3Z11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and document review, the facility failed to ensure expired medications were disposed of and a medication cart was locked while unattended. Findings include: On 10/14/19 at 4:30 PM, the medication cart for skilled nursing facility contained the following medications: [REDACTED] -[MEDICATION NAME] ([MEDICATION NAME] (rDNA origin) for injection) 1 milligram per vial, containing 2 vials, expired on 03/2019 -One a day women multivitamin expired on 05/2019. On 10/14/19 at 4:30 PM, the Registered Nurse confirmed the two medications were expired and should have been discarded. On 10/15/19 at 10:20 AM, the Director of Nursing acknowledged the expired medications should have been disposed of. The facility policy titled, Administration of medication, revised on 10/30/08, documented medication past the expiration date will be destroyed. Medication Cart On 10/16/19 at 10:32 AM, a medication cart was located against the wall, in the hallway, between rooms [ROOM NUMBERS]. The Registered Nurse (RN) was standing in front of the medication cart. The RN turned away from the medication cart and walked down the corridor connecting the adjacent hallway. The RN was no longer in view of the medication cart. The medication cart's lock was in the out position and unlocked. On 10/16/19 at 10:33 AM, the RN returned to the medication cart located between rooms [ROOM NUMBERS]. The RN confirmed stepping away from the medication cart and walking down the corridor to room nine without locking the medication cart. The RN confirmed the medication cart contained opened medications. The RN verbalized the medication cart should have been locked to prevent harm to the residents if the medications were accessed. The facility policy titled, Administration of Medication, revised 10/30/08, documented the medication cart was to remain locked at all times and was to remain with the nurse during the medication pass. 2020-09-01