cms_NV: 98

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
98 LAS VEGAS POST ACUTE & REHABILITATION 295006 2832 S. MARYLAND PARKWAY LAS VEGAS NV 89109 2019-07-12 604 D 0 1 MXY711 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to properly assess a resident and obtain a physician order [REDACTED].#36). Findings include: Resident #36 (R36) R36 was admitted on [DATE] with [DIAGNOSES REDACTED]. On 07/10/19 at 10:38 AM, R36 was sleeping with full side rails up on both sides of bed. On 07/10/19 at 12:12 PM and 4:12 PM, the side rails remained up in same position. On 07/11/19 at 12:07 PM, full side rails remained up on both sides of bed throughout day A Nurses Note dated 07/05/19 at 11:40 PM, indicated the resident fell out of bed. The Nurses Note documented the side rails were up for safety and the bed was in low position. On 07/12/19 at 3:40 PM, both full side rails were up. A Registered Nurse (RN) explained the side rails were used for safety with some residents. The RN verbalized an assessment would be performed and a physician's orders [REDACTED]. On 07/12/19 at 1:50 PM, the Assistant Administrator indicated the facility was restraint free and there was no restraint policy. On 07/12/19 at 3:45 PM, the Director of Nursing (DON) confirmed the expectation when a resident had side rails was for the staff to complete a assessment, obtain a physician order [REDACTED]. The DON verified the lack of documentation and physician order [REDACTED].>The facility policy titled Bed Siderails (undated) documented the need for an assessment of the resident and review with physician for any other reasonable alternatives. The resident and family must be informed of the benefits/hazards before application of bed siderails. 2020-09-01