cms_ME: 20

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
20	MONTELLO MANOR	205006	540 COLLEGE ST	LEWISTON	ME	4240	2018-03-16	554	D	0	1	40OK11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to complete a Self Administration of Medication Assessment and follow their policy for a resident who self administers insulin for 1 of 13 sample residents. (Resident #17) Findings: During a review of the Resident #17's care plan, the care plan for the problem Alteration in carbohydrate metabolism indicated that Resident #17 insist on self admin insulin. Very often the staff alerts his/her of insulin remaining in pen or pooling around and out of injection site During a review of the Interdisciplinary Meeting notes (IDT) indicates the resident continues to self dose insulin with poor ability to appropriately inject insulin. The facility policy, section 500.5 Administration, indicates if resident is going to self medicate written permission from the the residents attending physician is required and a teaching plan must be developed and instituted. Resident #17 Medication Review Report signed by physician, reveals resident receives Humalog, inject per sliding scale subcutaneous with meals; Humalog 10 units subcutaneous as needed for blood sugars over 400 at bedtime; [MEDICATION NAME], inject per sliding scale subcutaneous in the morning; and [MEDICATION NAME] sliding scale subcutaneous at bedtime. During an interview, the facility provided a blank copy of their Self Administration of Medication Assessment. The medical record lacked evidence of a Self Administration of Medication Assessment was completed to determine Resident #17's cognitive, physical, and visual ability to self administer insulin. In addition, the medical record lacked evidence of a physician order [REDACTED]. On 3/15/18 at 10:35 a.m., a surveyor confirmed the finding with the Director of Nurses.	2020-09-01