cms_ID: 97

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
97 GATEWAY TRANSITIONAL CARE CENTER 135011 527 MEMORIAL DRIVE POCATELLO ID 83201 2019-10-03 684 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 a resident's care plan was implemented for 1 of 8 residents (Resident #3) whose care plans were reviewed. This resulted in a resident not consuming most of her lunch meal. Findings include: Resident #3 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Resident #3's care plan related to eating, dated 2/27/19, stated Resident #3 was to be provided with frequent cueing to eat as much as possible of her meals. Resident #3 was oserved eating lunch on 10/2/19 from 12:15 PM to 12:40 PM. The lunch consisted of a tuna salad sandwich, pasta salad, water, juice, and ice cream. At 12:20 PM, Resident #3 was sitting at the table in the dining room for lunch service. She picked up her tuna salad sandwich. As she was moving the sandwich to her mouth, the contents of the sandwich fell on to her clothing protector. Resident #3 appeared to be unaware that the tuna salad had fallen from the sandwich and she proceeded to eat the bread. Resident #3 then placed her bowl of pasta salad on her plate and a styrofoam container of ice cream on her plate. Resident #3 picked up both her fork and spoon and held them in her right hand, the utensils were held in a crisscrossed position. She then used her fork, which was upside down, to scoop ice cream from the cup. Resident #3 was noted to obtain approximately 1/2 teaspoon of ice cream on her fork and eat it. She repeated this a second time. On the third scoop, 2 tines of the fork became inserted and stuck into the side of the styrofoam cup. Resident #3 let go of the fork and it remained stuck in the side of the cup. Resident #3 then used her spoon and retrieved a large scoop of ice cream. As she lifted the spoon to her mouth, the ice cream fell on to her lap. Resident #3 retrieved a second scoop of ice cream from the cup and as she lifted the spoon to her mouth, the ice cream fell on to her lap. At 12:40 PM, Resident #3 requested help to leave the dining room. A nearby SLP assisted Resident #3 to remove her clothing protector and then used a cloth napkin to wipe the ice cream from Resident #3's lap. The SLP then requested a CNA be paged to help Resident #3 leave the dining room and get cleaned up. At 12:42 PM, the DON came into the dining room and assisted Resident #3 to her room. During the lunch meal, a CNA was observed sitting across from Resident #3 and the CNA was feeding two other residents. The SLP was observed approximately 10 feet from Resident #3 during the lunch meal. The CNA and the SLP did not assist or cue Resident #3 during her lunch. On 10/3/19 at 7:25 AM, the DON stated Resident #3's care plan was not implemented and she should have been assisted with her lunch. The facility failed to ensure Resident #3's care plan was implemented. 2020-09-01