cms_VI: 6

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
6	SEA VIEW NURSING HOME	485000	7500 BOLONGO BAY	ST THOMAS	VI	802	2010-08-25	431	D	0	1	MZE911	Based on observations and staff interviews conducted during a Direct Survey it was determined that the facility did not ensure safe and secure storage of narcotics and emergency drugs, including the appropriate disposition, of drugs. This had the potential to affect all residents on both nursing units. Findings include: On 08/19/10 during the tour of the medication room, in the presence of the Director of Nursing (DON), the facility 's emergency box was noted to be unlocked, but was checked as locked on the medication log. When asked about this discrepancy, the DON stated It is my fault; the box is usually checked at the start of the shift by the day nurse. I saw the check mark made by the nurse at the lock not present column but I crossed it out. She did not give an explanation for why she had done this. A review of the contents of the emergency box revealed discrepancies between what the box contained and what ws transcribed on the log sheet . The following discrepancies were observed for the following medications: [REDACTED] 1. Glucagon Injection: the Emergency Medication log lists 7 but only 4 were in the box. 2. Phenergan Suppository: the Emergency medication log listed 6, but none were in the box. 3. Benadryl 25 mgs PO tabs: a bottle of 10 tablets was in the box, but not listed on log. 4. Epinephrine: the Emergency medication log listed 3 but only 1 was in the box. During an on-the-spot interview, the DON acknowledged that the count and content of the box should reconcile. On 8/19/10 at 3:15 p.m., a review of the narcotics record revealed that the narcotic medication count did not reconcile. The findings included: 1. The balance listed on the record for Ativan 2mg/cc Intramuscular was 1.75cc , the actual balance was 9.75cc. The narcotic sheet did not have an amount entered in the area designated as amount received from pharmacy. During an on-the -spot interview, the nurse was asked to explain the discrepancy related to the Ativan , she replied I believe that the individual signing out the Ativan mistook the 2mg/1cc and thought the vial was 2cc. 2. A bottle of Morphine Sulfate Elixir 20 mg/ml: a bottle with a 118.5 cc was observed in the narcotics cabinet and was accounted for on the narcotic log; however, the nurse informed the surveyor that this resident was no longer in the facility and, in fact, had been gone since 08/13/10. She stated that she was unsure why the bottle was still in the cabinet and acknowledged that this medication should have been returned to the pharmacy or disposed of.	2017-01-01