cms_ME: 13

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
13 HIBBARD SKILLED NURSING & REHABILITATION CENTER 205004 1037 WEST MAIN STREET DOVER FOXCROFT ME 4426 2018-02-08 684 E 0 1 RFBP11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to follow Physician orders [REDACTED].#27, #67, #40) currently residing in the facility and 1 of 2 discharged Residents (#80). Findings: 1 On 2/8/18, a review of Resident #27's clinical record was completed. Resident #27 had a Physician lab order to draw a Basic Metabolic Panel (BMP) on 1/2/18. On 2/8/18 at 9:30 a.m., in an interview with the surveyor, the Long Term Care (LTC) Nurse Manager, stated that she was unable to find a lab result for the BMP and could not find evidence that it was drawn. The LTC Manager stated that she would place it in the lab book to be drawn. The surveyor confirmed this finding with the LTC Manager at this time. 2. Resident #67 had a written physician order, dated 2/1/18, to obtain a Urine reflex lab and to stop the [MEDICATION NAME] orders. There is no evidence in the clinical record that the urine lab was collected and that the [MEDICATION NAME] orders were discontinued. On 2/6/18 at 12:18 p.m., during an interview with a surveyor, the Charge Nurse stated that the [MEDICATION NAME] had not be discontinued and the urine test has not been completed, this order was overlooked. The surveyor confirmed this finding with the Charge Nurse at this time. 3. Resident #40's clinical record contained a Physician order, dated 1/3/18, for [MEDICATION NAME] (an antibiotic) with the strength of 200 milligrams (mgs) per 5 milliliters (mls) and the directions to administer 12.5 mls today then 6.25 mls daily for 4 days. Resident #40's Medication Administration Record [REDACTED]. The physician order [REDACTED].#40 did not get the proper dose of medication as ordered by the physician. The surveyor confirmed this finding at this time. 4. On 2/8/18, a review of Resident #80's closed clinical record was completed. Resident #80's clinical record contained a Physician order, dated 11/20/17, for [MEDICATION NAME] 4 milligrams (mg) by mouth (PO) every 6 hours as needed (PRN) for nausea x 2 weeks (12/3/17). Review of Resident #80's Medication Administration Record [REDACTED]#80's clinical record and were unable to find another Physician order [REDACTED]. 2020-09-01