cms_UT: 29

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
29	HERITAGE PARK HEALTHCARE AND REHABILITATION	465003	2700 WEST 5600 SOUTH	ROY	UT	84067	2016-08-18	333	D	0	1	AV3G11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, it was determined the facility did not ensure that residents were free of significant medication errors for 2 of 32 sampled residents. Specifically, resident's did not receive insulin as ordered by the physician. Resident identifiers: 152 and 191. Findings include: 1. Resident 152 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident 152's medical record was reviewed on 8/17/16. A physician's orders [REDACTED]. If blood sugar less than 80 notify the Medical Doctor (MD), If blood sugar 80 to 140, give no insulin; If blood sugar 141 to 180, give 3 Units; If blood sugar 181 to 220, give 4 Units; If blood sugar 221 to 260, give 6 Units; If blood sugar 261 to 300, give 8 Units; If blood sugar 301 to 340, give 10 Units; If blood sugar 341 to 380, give 12 Units; If blood sugar 381 to 420, give 14 Units; If blood sugar greater than 420 notify the MD. A review of resident 152's (MONTH) (YEAR), (MONTH) (YEAR), and (MONTH) (YEAR) Medication Administration Record [REDACTED] a. On 6/11/16 at 7:00 AM, a blood sugar of 197 was documented. Resident 152 received 3 Units of insulin instead of the 4 Units per the sliding scale. b. On 6/12/16 at 7:00 AM, a blood sugar of 143 was documented. Resident 152 received no insulin instead of the 3 Units per the sliding scale. c. On 6/15/16 at 11:30 AM, a blood sugar of 143 was documented. Resident 152 received no insulin instead of the 3 Units per the sliding scale. d. On 6/24/16 at 9:00 PM, a blood sugar of 179 was documented. Resident 152 received 4 Units of insulin instead of the 3 Units per the sliding scale. e. On 7/3/16 at 7:00 AM, a blood sugar of 141 was documented. Resident 152 received 1 Unit of insulin instead of the 3 Units per the sliding scale. f. On 8/3/16 at 4:30 PM, a blood sugar of 143 was documented. Resident 152 received no insulin instead of the 3 Units per the sliding scale. 2. Resident 191 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident 191's medical record was reviewed on 8/16/16. A physician's orders [REDACTED]. If blood sugar less than 80 refer to PRN (as needed) protocol and notify MD; If blood sugar 80 to 120, give 0 Units; If blood sugar 121 to 150, give 1 Units; If blood sugar 151 to 200, give 3 Units; If blood sugar 201 to 250, give 5 Units; If blood sugar 251 to 300, give 7 Units; If blood sugar 301 to 350, give 9 Units; If blood sugar 351 to 400, give 11 Units; If blood sugar 401 to 450, give 14 Units; If blood sugar greater than 450 notify the MD. A review of resident 191's (MONTH) (YEAR) MAR indicated [REDACTED]. Resident 191 received 0 Units of insulin instead of the 1 Units per the sliding scale. A physician's orders [REDACTED]. A review of resident 191's (MONTH) (YEAR) MAR indicated [REDACTED]. On 8/17/16 at 9:50 AM, an interview was conducted with the Director of Nursing (DON). No additional documentation was provide. On 8/17/16 at 11:55 AM, an interview was conducted with Licensed Practical Nurse (LPN) 1. LPN 1 stated when a line was drawn on the MAR indicated [REDACTED]. On 8/17/16 at 12:05 PM, an interview was conducted with LPN 2. LPN 2 stated that the line drawn on the MAR means that no insulin was required per the sliding scale ordered by the physician. On 8/17/16 at 12:10 PM, an interview was conducted with LPN 3. LPN 3 stated that the line drawn on the MAR indicated [REDACTED].	2020-09-01