cms_NV: 90

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.

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
90 LAS VEGAS POST ACUTE & REHABILITATION 295006 2832 S. MARYLAND PARKWAY LAS VEGAS NV 89109 2018-05-11 697 D 0 1 QB3511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, record review and document review, the facility failed to ensure pain assessments were completed accurately for 2 of 18 sampled residents (Residents #40 and #59). Findings include: Resident #40 Resident #40 was admitted on [DATE] with [DIAGNOSES REDACTED]. A physician's orders [REDACTED]. The Care Plan dated 03/2018, revealed the resident was at risk for pain. The approach was to assess the resident's level of pain using the pain rating scale. The Medication Administration Record (MAR) dated (MONTH) (YEAR), revealed the resident was administered [MEDICATION NAME] 325 mg - 7.5 mg on 05/09/18. The Pain Assessment Flow Sheet dated (MONTH) (YEAR), lacked documented evidence the resident's post-[MEDICATION NAME] pain rating and sedation level was assessed on 05/09/18. On 05/10/18 in the morning, a Licensed Practical Nurse (LPN) indicated when PRN pain medication was administered to a resident, the pain assessment flow sheet was completed and the MAR was signed. The LPN explained the pain assessment was completed by adding the resident's post-[MEDICATION NAME] pain rating and sedation level. The LPN acknowledged the pain assessment was not completed accurately with the resident's post-[MEDICATION NAME] pain rating and sedation level on 05/09/18. On 05/10/18 in the morning, the Director of Nursing (DON) indicated pain assessments should be completed accurately. The DON explained when PRN pain medication was administered, the resident's post-[MEDICATION NAME] pain rating and sedation level should be completed. The DON acknowledged the pain assessment was not completed accurately with the resident's post-[MEDICATION NAME] pain rating and sedation level on 05/09/18. Resident #59 Resident #59 was admitted on [DATE] with [DIAGNOSES REDACTED]. A physician's orders [REDACTED]. The MAR dated (MONTH) (YEAR), revealed the resident was administered [MEDICATION NAME] 2 mg on 05/07/18. The Pain Assessment Flow Sheet dated (MONTH) (YEAR), lacked documented evidence the resident was assessed for pain on 05/07/18. On 05/10/18 at 1:20 PM, an LPN indicated when PRN pain medication was administered to the resident, the MAR and the Pain Assessment Flow Sheet were documented. The LPN indicated the MAR and the Pain Assessment Flow Sheet's documentation should match On 05/10/18 at 1:45 PM, the DON indicated when a PRN pain medication was administered to a resident, the MAR and the Pain Assessment Flow Sheet should be documented together. The DON acknowledged a pain assessment was not completed for the resident on 05/07/18. On 05/10/18 at 1:50 PM, an LPN explained [MEDICATION NAME] was administered to the resident on 05/07/18 and the MAR was documented. The LPN acknowledged the pain assessment had not been completed for 05/07/18. The LPN acknowledged the pain assessment should have been completed on 05/07/18. A facility policy entitled Pain Assessment and Management revised (MONTH) 2010, documented pain management included assessing and re-assessing the resident's potential for pain via the pain assessment tool. 2020-09-01