cms_ME: 1

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

rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
1 CEDARS NURSING CARE CENTER 205003 630 OCEAN AVENUE PORTLAND ME 4112 2018-02-08 842 D 0 1 9O8T11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to maintain complete documentation of a medical record related to pain management for 1 of 19 sampled residents (#15). Finding: On 2/6/18, in review of Resident #15's record, the surveyor noted the resident was admitted on [DATE] and diagnosed with [REDACTED]. Resident #15's care plan, originally created 3/28/13, indicated he/she has non-pharmalogical pain management interventions available, such as cold-heat application. According to the electronic Treatment Administration Record (eTAR), Resident #15's pain was assessed every shift in the months of (MONTH) and every shift, thus far in February. According to documentation in the eMAR, the Resident reported pain in (MONTH) on 11 of 93 shifts, with pain ranging from 2-7 out of 10 and in (MONTH) on 6 of 15 shifts, pain ranging from 2-4 out of 10. According to the eMAR, [MEDICATION NAME] was not administered in (MONTH) and February, and there was no documentation to reflect the medication was offered and/or refused on the dates the Resident reported pain, nor was there documentation of other interventions offered and administered or refused to provide comfort. On 2/6/18 at 10:30 a.m., in an interview, the surveyor confirmed the finding with the Director of Nursing and the Shapiro Neighborhood Nurse Manager. 2020-09-01