cms_NV: 86

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
86	LAS VEGAS POST ACUTE & REHABILITATION	295006	2832 S. MARYLAND PARKWAY	LAS VEGAS	NV	89109	2018-05-11	677	D	0	1	QB3511	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to provide assist with trimming and cleaning the finger nails for 1 of 18 sampled residenst (Resident #22). Findings include: Resident #22 was admitted on [DATE] with [DIAGNOSES REDACTED]. On 05/08/18 at 10:29 AM, the resident was in bed and answered some questions appropriately. The resident's finger nails, on both hands, were about 1/2 inch long and had dark colored material lodged underneath the nails. The resident stated he was unable to bathe or groom himself and relied on staff to provide all of his care. The resident reported he could not see well. On 05/11/18 at 12:17 PM, the Licensed Practical Nurse (LPN) checked the resident's fingernails and reported they were overly long and and had debris underneath, and should have been kept trimmed and clean. The LPN did not know why the nails were not kept trimmed and clean on the resident. The LPN stated sometimes residents will refuse, but did not recall the resident refusing care. The LPN asked the resident if he would like to have the finger nails trimmed, and the resident replied yes. The LPN revealed toe nails were trimmed by a podiatrist who made monthly visits. The LPN wasn't sure if resident fingernails should be clipped by licensed nurses or by the nursing assistants, or by a podiatrist. The facility policy and procedure titled Shower/Tub Bath, revised 10/10, indicated staff should not trim finger nails unless otherwise instructed by your supervisor.	2020-09-01