cms_ID: 17
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.
This data as json, copyable
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 17 |
ST LUKE'S ELMORE LONG TERM CARE |
135006 |
895 NORTH 6TH EAST |
MOUNTAIN HOME |
ID |
83647 |
2018-10-12 |
690 |
D |
0 |
1 |
SC7O11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, policy review, and staff interview, it was determined the facility failed to ensure the bowel protocol was followed and implemented for 1 of 2 residents (Resident #5) reviewed for bowel and bladder care. This had the potential to place residents at risk for fecal impaction and bowel blockage. Findings include: The facility's Bowel and Bladder Program policy, revised 4/9/18, directed staff to notify the physician for no bowel movement in 5 days. Resident #5 was admitted to the facility on [DATE], with multiple [DIAGNOSES REDACTED]. A bowel continence care plan, dated 8/31/17, documented Resident #5's bowel movement pattern as one time a day 2 days apart. The care plan directed staff to refer to her medications for bowel care or call her physician to get an order if Resident #5 did not have a bowel movement by day 3. A physician order, dated 8/2/18, directed staff to provide Milk of Magnesia 30 mLs nightly as needed for constipation. A Pharmacy Review, dated 9/13/18, documented Resident #5 had not had a bowel movement for 3-4 days twice in the last 2 weeks. The bowel movement records, dated 9/9/18 through 9/22/18, documented Resident #5 did not have a bowel movement between 9/10/18 and 9/14/18 (5 days) and between 9/18/18 through 9/22/18 (5 days.) The Medication Administration Record [REDACTED]. A Pharmacy Review, dated 10/9/18, documented there were up to 5 days between bowel movements. The consultant pharmacist documented Resident #5 had Milk of Magnesia ordered as needed but none was given when Resident #5 went 5 days between bowel movements. On 10/12/18 at 2:30 PM, the DON stated residents received bowel care medication after 3 days without a bowel movement and the physician was notified on day 4. She confirmed the care plan and physician orders [REDACTED].#5. |
2020-09-01 |