cms_NV: 93

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
93	LAS VEGAS POST ACUTE & REHABILITATION	295006	2832 S. MARYLAND PARKWAY	LAS VEGAS	NV	89109	2018-05-11	759	D	0	1	QB3511	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a medication error rate of less than 5% during medication pass. The facility scored a 6.67 % medication error rate. Findings include: The policy and procedure titled Administering Medications, revised 12/12, indicated medications must be administered in accordance with the physician's orders [REDACTED]. A resident was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. A physician order, dated 05/9/17, documented Aspirin 81 milligrams (mg) [MEDICATION NAME] Coated Tablet (ECT) per oral route daily. A physician order, dated 05/18/17, documented [MEDICATION NAME] Extended Release (ER) 60 mg by oral route daily, to hold if systolic blood pressure (the top number) was less than 110, and if the heart rate was less than 60 beats per minute. On 05/10/18 08:46 AM, a medication pass observation was performed with the Registered Nurse (RN). The RN administered an Aspirin 81 mg chewable tablet, and administered [MEDICATION NAME] ER 60 mg. Both medications were crushed and mixed with applesauce prior to giving them to the resident by mouth. On 05/10/11, in the morning, the RN stated the [MEDICATION NAME] 60 mg ER was an extended release tablet and should not be crushed, because the medication had the potential to release too fast with possible adverse effect. The RN acknowledged she had not noticed or acted on her knowledge regarding this medication, which was an error. The RN verified a physician's orders [REDACTED]. On 05/10/18 at 02:45 PM, the Consultant Pharmacist (CP) stated [MEDICATION NAME] ER tablet should never be crushed, because the medication was designed to be released slowly. If crushed, the medication could enter the resident's blood stream faster than desired and cause the blood pressure to go too low, which could be unsafe.	2020-09-01