cms_OR: 74

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
74	PROVIDENCE BENEDICTINE NURSING CENTER	385018	540 SOUTH MAIN STREET	MOUNT ANGEL	OR	97362	2018-12-19	758	D	0	1	NNTH11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review it was determined the facility failed to ensure gradual dose reductions were considered, appropriate indication for use were provided and end dates were in place for [MEDICAL CONDITION] medications for 1 of 5 sampled residents (#28) reviewed for medication. This placed residents at risk for receiving unnecessary medication. Findings include: Resident 28 admitted to the facility in (YEAR) with [DIAGNOSES REDACTED]. On 12/10/18 at 10:12 AM Resident 28 was observed and did not exhibit any symptoms of anxiety or depression. a. Resident 28's 11/2018 MAR indicated [REDACTED]. The MAR indicated [REDACTED]. A 11/14/18 physician's orders [REDACTED]. The order did not include a rationale for why the medication was increased. No evidence was found in Resident 28's clinical record to indicate the 0.25 mg PRN [MEDICATION NAME] was ineffective. The 11/2018 MAR indicated [REDACTED]. During interviews with Staff 22 (RNCM) on 12/17/18 at 10:56 AM and 11:42 AM Staff 22 stated she was unsure why the PRN [MEDICATION NAME] was increased. Staff 22 acknowledged there was no rationale to indicate why the [MEDICAL CONDITION] medication was increased. b. A 11/14/18 physician's orders [REDACTED]. The order did not include an end date for the PRN [MEDICAL CONDITION] medication. On 12/17/18 at 11:42 AM Staff 22 (RNCM) acknowledged there was no end date for the resident's PRN [MEDICATION NAME] order. c. Resident 28's 11/2018 MAR indicated [REDACTED]. No evidence was found in the resident's clinical record to indicate a gradual dose reduction (GDR) was attempted or considered since the 9/23/17 order for duloxetine was implemented. On 12/17/18 at 11:42 AM Staff 22 (RNCM) acknowledged no GDR was attempted or considered for Resident 28's use of duloxetine since 9/23/17.	2020-09-01