cms_NV: 88

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
88	LAS VEGAS POST ACUTE & REHABILITATION	295006	2832 S. MARYLAND PARKWAY	LAS VEGAS	NV	89109	2018-05-11	686	D	0	1	QB3511	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review and document review, the facility failed to implement interventions to prevent skin break down and promote the healing of existing pressure ulcers for a bedfast resident per resident's care plan for 1 out of 18 sampled residents (Resident #11). Resident #11 Resident #11 was admitted on [DATE], with [DIAGNOSES REDACTED]. A comprehensive care plan dated 12/27/17, documented an intervention to reposition the resident every two hours using positioning devices. The resident's history and physical dated 01/02/18, documented the resident was bed-bound with existing sacral decubitus. On 05/10/18 at 8:07 AM the resident was supine (flat on back facing upwards), bed elevated approximately 20 to 30 degrees. The Certified Nursing Assistant (CNA) #1 indicated the resident was bed-bound, non-verbal and required extensive assistance with all activities of daily living (ADL's). On 05/10/18 at 1:30 PM, the resident was on her right side with pillow underneath left side of the back for support. The bed was elevated approximately 20 to 30 degrees. On 05/10/18 at 2:45 PM, the resident was on her right side with pillow underneath left side of the back for support. The bed was elevated 20 to 30 degrees. On 05/10/18 at 3:40 PM, the resident was on her right side with pillow underneath left side of the back for support. The bed was elevated 20 to 30 degrees. On 05/10/18 at 3:45 PM, CNA #2 indicated the resident should have been repositioned earlier. CNA #2 acknowledged the resident had not been turned. CNA #2 verbalized staff should document on the ADL Flow Record each time a resident is turned. CNA #2 acknowledged staff did not document consistently each time a bed-bound resident is turned. CNA #2 indicated seeking another staff member to reposition the resident. On 05/10/18 at 4:00 PM, the resident was on her right side with pillow underneath left side of the back for support. The bed was elevated 20 to 30 degrees. There was no documented evidence the resident was turned or repositioned every two hours by the staff. On 05/10/18 at 4:05 PM, the Director of Nursing confirmed the resident was bed-bound and was care planned for repositioning every two hours. The DON indicated staff should document on the ADL Flow Record each time a resident is turned. The DON explained staff are expected to follow the facility policy on repositioning bedfast residents to prevent pressure ulcers. The facility policy titled The Side-Lying Position (dated (MONTH) 2010), enumerated information required to be documented in resident's clinical record: -Date and time care was given -Name and title of individual (s) who assisted with care -The position in which the resident was placed -Reason for changing the resident's position -Signature and title of person recording the date The DON acknowledged nursing staff should be documenting interventions consistently to ensure bedfast residents are repositioned in accordance with plan of care.	2020-09-01