cms_UT: 54

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
54	MT OLYMPUS REHABILITATION CENTER	465006	2200 EAST 3300 SOUTH	SALT LAKE CITY	UT	84109	2019-05-23	580	D	0	1	PDL911	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined, for 1 of 28 sampled residents, that the facility did not immediately consult with the resident's physician when there was a significant change in the resident's physical, mental, or psychosocial status, or a need to alter treatment significantly. Specifically, a resident would refuse scheduled doses of insulin and the physician was not consistently notified of those refusals. Resident identifier: 49. Findings include: Resident 49 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. On 5/22/19, resident 49's medical record was reviewed. Resident 49's physician's orders [REDACTED]. a. Start Date 11/1/18, 0600 (6:00 AM) [MEDICATION NAME] Solution 100 UNIT/ML (units per milliliter) (Insulin Detemir) Inject 50 unit subcutaneously one time a day for DM (diabetes mellitus) b. Start Date 11/1/18 1815 (6:15 PM) [MEDICATION NAME] Solution 100 UNIT/ML (Insulin Detemir) Inject 45 units subcutaneously one time a day for DM Resident 49's Medical Administration Record (MAR) was reviewed for (MONTH) and (MONTH) of 2019. The MAR indicated [REDACTED]. Resident 49 had refused the scheduled dose of insulin on the following dates: a. 4/2/19 at 6:15 PM; b. 4/26/19 at 6:00 AM and 6:15 PM; c. 4/27/19 at 6:00 AM and 6:15 PM; d. 4/30/19 at 6:00 AM and 6:15 PM; e. 5/1/19 at 6:15 PM; f. 5/2/19 at 6:00 AM; g. 5/12/19 6:00 AM. The nursing progress notes for resident 49 were reviewed. They revealed that for the above dates, there was no documentation that the doctor or nurse practitioner had been notified of the refusals. On 5/23/19 at 9:50 AM, an interview was conducted with Licensed Practical Nurse (LPN) 3. LPN 3 stated that if a scheduled medication was held, the doctor should be notified. LPN 3 stated that the refusal and notifying the doctor should be documented in the progress notes. On 5/23/19 at 12:53 PM, an interview was conducted with the Director of Nursing (DON). The DON stated that if a resident refused a scheduled medication, the doctor should be notified. The DON stated that the refusal and physician contact should be documented in the resident's progress notes.	2020-09-01