cms_SD: 58

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
58	WESTHILLS VILLAGE HEALTH CARE FACILITY	435033	255 TEXAS ST	RAPID CITY	SD	57701	2017-06-14	281	D	0	1	WA4911	Based on record review, observation, interview, and policy review, the provider failed to follow professional standards for administration of medications by one of one observed licensed practical nurse (LPN) (D) for one of one sampled resident (6) who received medication per an enteral tube. Findings include: 1. Observation on 6/13/17 at 9:20 a.m. of LPN D while she administered medications to resident 6 revealed she: Prepared the medications for the resident referring to the medication administration record. She crushed them and mixed them with water individually. Took those medications and 150 cubic centimeter (cc) of water to the resident's room. Instilled the medications through the resident's enteral tube. Flushed the enteral tube with water between each medication administered. Flushed the enteral tube with a 150 cc bolus of water after the last medication had been administered. Interview on 6/13/17 at 11:00 a.m. with LPN D regarding resident 6 confirmed she had not verified placement of the enteral tube. She had not used a stethoscope to listen before administering his medications. She stated she confirmed tube placement before administering nourishment but not for medications. Interview on 6/13/17 at 11:45 a.m. with the administrator and the director of nurses confirmed the enteral tube placement should have been verified. It should have been done before the resident's medications and water had been administer into that tube. Review of the provider's (MONTH) (YEAR) Enteral Tubes Administration of Formula, Medications, and Liquids policy and procedure revealed placement of the enteral tube was to have been verified With auscultation using 150 cc of air.	2020-09-01