cms_NV: 96

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
96 LAS VEGAS POST ACUTE & REHABILITATION 295006 2832 S. MARYLAND PARKWAY LAS VEGAS NV 89109 2018-07-10 755 D 1 0 1YJV11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, interview and record review, the facility failed to provide the resident's anti-psychotic medication for six days for 1 of 7 sampled residents (Resident #1). Findings include: Resident #1 was admitted on [DATE], with [DIAGNOSES REDACTED]. On 07/10/18 at 8:55 AM, the resident was alert, cooperative and able to express needs. A Sitter was observed by the door. The admission orders [REDACTED]. The Antipsychotic Monthly Flow Record for (MONTH) (YEAR), documented to give [MEDICATION NAME] 600 mg. one tablet by mouth at hour of sleep. The document revealed the following: -06/13/18 to 7/17/18 were blank (no initials, no notes, no monitoring of behavior and side effects) -06/18/18 encircled initials with nurses notes awaiting pharmacy to deliver, monitoring for behavior and side effects documented. On 07/10/18 at 10:40 AM, a Licensed Practical Nurse (LPN) indicated the resident did not receive [MEDICATION NAME] for a few days after admission due to miscommunication regarding how the medication would be obtained. The LPN indicated the Veterans Affair (VA) case manager informed the facility if the resident did not receive the medication by 06/19/18, the resident would have to start from a low dose and slowly build up to the current dose of 600 mg since the resident had already missed six days. On 07/10/18 at 12:05 PM, the Social Worker (SW) indicated coordinating care with the VA case manager who was familiar with the resident's mental health care. The SW indicated the VA case manager informed the facility the resident needed to be registered through the Risk Evaluation and Mitigation Strategy (REMS) program and required routine blood draw in order for the medication to be dispensed by the manufacturer. On 07/10/18 at 12:35 PM, the DON indicated the facility terminated services with Pharmacy provider #1 on 06/15/18 and started using the services of Pharmacy provider #2 on 06/16/18. The DON indicated the transition contributed to the difficulty in obtaining the [MEDICATION NAME] sooner for Resident #1. The DON indicated nursing staff should have informed her sooner when the medication could not be administered due to unavailability. The DON indicated not being familiar with [MEDICATION NAME] side effects and consequences of not being administered as prescribed. On 07/10/18 at 12:45 PM, the Director of Staff Development (DSD) indicated the resident needed to be registered through the REMS program before the manufacturer could dispense additional supply. The DSD indicated [MEDICATION NAME] had blood monitoring requirements and indicated missed doses might lead to increased hallucinations. On 07/10/18 at 12:45 PM, the DON confirmed the resident did not receive [MEDICATION NAME] for six days, on 06/13/18, 06/14/18, 06/15/18, 06/16/18, 06/17/18 and 06/18/18. The DON confirmed this was not acceptable. 2020-09-01