cms_UT: 16

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
16	HERITAGE PARK HEALTHCARE AND REHABILITATION	465003	2700 WEST 5600 SOUTH	ROY	UT	84067	2019-02-21	710	E	0	1	R8D511	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, it was determined for 1 of 41 sample residents, that the facility did not ensure that each resident's medical care was supervised by a physician. Specifically, a resident's Primary Care Physician (PCP) did not respond to a [MEDICAL CONDITION] meeting recommendation for approximately two and a half months. Findings include: Resident 21 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. On 2/21/19, a review of resident 21's medical record was completed. Resident 1's [MEDICAL CONDITION] Quarterly Review dated 8/13/18 revealed that resident 21 was on 12.5 milligrams (mg) [MEDICATION NAME] twice daily (BID) and that the committee recommended to discontinue the [MEDICATION NAME]. Resident 21's PCP signed the review in agreement on 10/23/18. On 11/13/18, a facility nurse signed and 'noted' the physician's agreement. (Note: The PCP did not respond to the [MEDICAL CONDITION] Committee's recommendation from 8/13/18 through 10/23/18. After the PCP agreed to the recommendation it was 3 weeks before the facility noted the agreement and discontinued resident 21's [MEDICATION NAME].) A review of resident 21's progress notes revealed the following information. a. On 8/15/18 at 11:41 AM, Resident reviewed in [MEDICAL CONDITION] meeting. Resident currently taking Duloxetine 30 mg Q (every) AM, tracking negative statements, 4 noted. Also taking [MEDICATION NAME] 12.5 mg BID, tracking hallucinations, 7 noted. Recommended to d/c (discontinue) [MEDICATION NAME]. Re-eval (evaluate) in 90 days. MD (Medical Director) agrees with recommendation at this time. Notified daughter of change. b. On 11/14/18 at 3:11 PM, clarification: reviewed in [MEDICAL CONDITION] meeting 8/13/18, just received response to recommendation on 11/12/18. c. On 11/13/18 at 3:11 PM, N.O. (new order) d/c (discontinue) [MEDICATION NAME] (QUEtiapine [MEDICATION NAME]) Give 12.5 mg by mouth two times a day for mood disorder DISCONTINUE Date/Reason: 11/13/2018 15:10 (3:10 PM) reviewed in [MEDICAL CONDITION] meeting 8/13/18: d/c [MEDICATION NAME]. d. On 11/13/18 at 3:11 PM, Resident reviewed in [MEDICAL CONDITION] meeting 8/13/18: taking [MEDICATION NAME] 12.5 mg BID for mood disorder, tracking hallucinations, 5 during the day/2 at night. Taking Duloxetine 30 mg Q AM (every morning) for depression tracking tearfulness, 4 during the day/0 at night. Recommended Actions: d/c [MEDICATION NAME]. MD agreed and signed off to discontinue [MEDICATION NAME]. On 2/21/19 at 8:24 AM, the Director of Nursing (DON) was interviewed. The DON stated that the MD was at all [MEDICAL CONDITION] meetings, however resident 21's PCP was not the MD. The DON stated that the recommendations were sent to resident 21's PCP, however he did not respond for over 2 months. The DON stated that she was not the DON at that time, however she would have expected the former DON to have followed up on the recommendation with resident 21's PCP.	2020-09-01