cms_NV: 68

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
68	LAS VEGAS POST ACUTE & REHABILITATION	295006	2832 S. MARYLAND PARKWAY	LAS VEGAS	NV	89109	2019-02-08	553	D	1	0	YZ1W11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on interview and record review, the facility failed to involve the resident and/or resident representative in the resident's care planning process for 1 of 5 sampled residents (Resident #1). Findings include : Resident #1 (R1) R1 was admitted on [DATE], with [DIAGNOSES REDACTED]. The Admission Minimum Data Set ((MDS) dated [DATE], documented R1 had a Brief Interview of Mental Status (BIMS) score of two (reflective of impaired cognition). The MDS revealed triggered care areas for [MEDICAL CONDITION], cognitive loss, visual function, urinary incontinence, nutritional status, falls and pressure ulcers. A General Power of Attorney dated 10/04/18, identified R1's brother as R1's appointed representative. The medical records lacked documented evidence the facility attempted to involve R1's representative in the development and implementation of R1's care planning process. On 01/10/19 at 3:00 PM, the Social Services Director (SSD) indicated utilizing a form to invite residents and/or resident representatives to care plan conferences. The SSD explained if the invitation is made by telephone, Social Services staff documented on the form whether the resident representative declined or accepted the invitation, the form is placed in the resident's chart. On 01/10/19 at 3:10 PM, the SSD acknowledged there was no evidence R1's representative was invited to participate in R1's care planning process and could not provide the date when R1's care plan conference occurred. On 01/10/19 at 3:15 PM, the DON explained since R1 was cognitively impaired R1's representative should have been involved in the care planning process. The DON acknowledged there should have been evidence of R1's representative's involvement in the medical records. On 01/10/19 a 3:21 PM, R1's representative confirmed not receiving an invitation from facility staff to attend any care conferences for R1 and was not provided a copy of R1's plan of care.	2020-09-01