cms_ID: 41

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
41 BINGHAM MEMORIAL SKILLED NURSING & REHABILITATION 135007 98 POPLAR STREET BLACKFOOT ID 83221 2017-09-21 311 D 0 1 ZCF511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on resident and staff interview, and medical record review, it was determined the facility failed to provide a restorative nursing program for 1 of 7 residents (Resident #5) sampled for restorative nursing programs. The deficient practice created the potential for harm if the resident experienced a functional decline when restorative services were not provided. Findings include: Resident #5 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident #5's most recent quarterly Minimum Data Set (MDS) assessment, dated 7/22/17, documented the resident had moderate cognitive impairment, was dependent on two staff for bed mobility and transfers, and had limited use of his left arm and leg. Resident # 5's Activities of Daily Living care plan, dated 7/22/17, did not document the resident had a restorative nursing program, and no updates to add a restorative nursing program were documented. Resident #5's Physical Therapy Discharge Summary, dated 7/30/17, documented recommendations for restorative nursing services for strengthening and standing. The summary documented the resident's anticipated outcome was good with consistent staff follow through. On 9/19/17 at 9:15 am Resident #5 stated that he was told that the State said that he was no longer progressing and no longer eligible physical therapy, so he would be transferred to a restorative nursing program. Resident #5 stated it had been almost two months since his physical therapy ended, but he had not yet had any restorative nursing services. He stated he felt he may have lost some strength in his left leg by not being in a restorative program. On 9/19/17 at 10:10 am, Physical Therapist (PT) #2 stated she remembered Resident #5 and wrote a Restorative Plan for him as part of his discharge from skilled therapy 8/3/17. PT #2 stated she provided the Restorative Plan to the Director of Nursing (DON), as the DON oversaw the Restorative Nursing Program. She stated that she did not get any feedback on the Restorative Plan or told why it was not implemented. On 9/19/17 at 4:30 pm, CNA #1 stated she was the Restorative CNA, but was not aware of any restorative program for Resident #5 prior to 9/19/17, but had received a program that day. CNA #1 stated that Resident #5's spouse had inquired about when the resident's restorative program was going to start about a week and a half ago, and CNA #1 had asked the DON about it, but had not received a response until today. On 9/21/17 at 10:00 am PT #2 stated she re-evaluated the resident on 9/19/17 and did not believe the resident lost any strength or function since his discharge from physical therapy. On 9/19/17 at 4:35 pm the DON stated she could not find the Restorative Plan from 8/3/17. The DON stated if she had received a restorative referral from physical therapy she would have processed it the same day. 2020-09-01