cms_ID: 96

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
96 GATEWAY TRANSITIONAL CARE CENTER 135011 527 MEMORIAL DRIVE POCATELLO ID 83201 2019-10-03 657 D 1 0 4YWP11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, record review, and staff interview, it was determined the facility failed to ensure resident care plans were appropriately revised for 2 of 8 residents (#1 and #3) whose care plans were reviewed. This failure had the potential for residents to not receive care and services which met their needs. Findings include: 1. Resident #3 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. A quarterly MDS assessment, dated 9/12/19, documented Resident #3's BIMS score was 12, indicating she had a mild cognitive impairment. The MDS documented Resident #3 had no behaviors. An investigation, dated 9/6/19, stated on 9/1/19 at 3:00 AM, Resident #5 reported to a CNA on duty Resident #3 was yelling out and he (Resident #5) went into Resident #3's room and found her without covers. The investigation stated Resident #5 replaced the covers on Resident #3 and then reported it to the CN[NAME] The investigation included 3 statements from residents, dated 9/1/19, whose rooms were near Resident #3. The statements documented the following: - One resident (Room B21) statement documented Resident reported he is often awake at night and can hear (Resident #3) yell out frequently throughout the night. Resident stated she (Resident #3) often repeats 'help me, help me.' - The second resident (Room B18) statement documented Resident stated her neighbor (Resident #3), often yells at night and will often yell 'help me, help me.' Resident stated she and (Resident #5) have visited with this resident (Resident #3) at night to help calm her down. - The third resident (Room B23) statement documented Resident stated there is a resident (Resident #3) who calls out throughout the night. Resident stated .she yells out for a long time. Resident #3's care plan did not include a care area or interventions related to nighttime behaviors. On 10/3/19 at 7:25 AM, the DON stated Resident #3's care plan did not address nighttime behaviors and no concerns were reported by the staff. The facility staff did not revise and update Resident #3's care plan to include her nighttime behaviors. 2. Resident #1 was readmitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Resident #1's care plan related to falls, dated 5/21/19, stated Do not leave (Resident #1) in room in chair unattended. Resident #1 was observed to be sitting in his wheelchair in his room, watching television. No staff were present in the room with him. On 10/3/19 at 7:25 AM, the DON stated Resident #1 could be left alone in his room and his care plan needed to be revised. The facility failed to ensure Resident #1's care plan was revised to meet his current needs. 2020-09-01