cms_ME: 18

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
18	HIBBARD SKILLED NURSING & REHABILITATION CENTER	205004	1037 WEST MAIN STREET	DOVER FOXCROFT	ME	4426	2018-02-08	842	D	0	1	RFBP11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a Physician order [REDACTED].#40). In addition, based on interviews, record reviews, and Narcotic bound book pages review, the facility failed to ensure medications were documented on the Electronic Medication Administration record/ Treatment Administration Record (MAR/TAR) were documented when a pain medication was administered for 2 of 3 Residents whose Narcotic bound book pages were reviewed (#179, #180). Findings: 1. Resident #40's medication block orders and Medication Administration Record [REDACTED]. Resident #40 is NPO (nothing by mouth) and has an enteral feeding tube. On 2/8/18 at 3:14 p.m., in an interview with a surveyor, the Administrator stated that the route of medication administration should have been written as via enteral tube and not by mouth. The surveyor confirmed this finding with the Administrator at this time. Resident #40 has been receiving [MEDICATION NAME] correctly via enteral tube. 2 Resident #179 had a physician order [REDACTED].#179's clinical record review, the Narcotic bound book, on page 135, contained documentation that on 1/31/18 at 10:00 p.m. (2200) he/she received [MEDICATION NAME] 5 mg. The Electronic MAR/TAR and the nurse's notes for Resident #179 lacks evidence/documentation of the medication being administered. A surveyor confirmed this finding with the Skilled Unit Nurse Manager on 2/8/18 at 1:00 p.m. 3. Resident #180 had a physician order [REDACTED].#180's clinical record review, the Narcotic bound book page, 126, contained documentation that Resident #180 received [MEDICATION NAME] two 2 mg tablets on 1/15/18 at 4:30 p.m. and at 8:30 p.m. The Electronic MAR/TAR and the nurse's notes for Resident #180 lacks evidence/documentation of the medication being administered. On Page 127 of the Narcotic bound book, documentation indicated on 1/28/18 at 8:34 p.m. and 1/29/18 at 8:05 p.m. Resident #180 received a [MEDICATION NAME] 4 mg tablet. The Electronic MAR/TAR and the nurse's notes for Resident #180 lacks evidence/documentation of the medication being administered. A surveyor confirmed these findings with the Administrator on 2/8/18 at 4:22 p.m.	2020-09-01