cms_ME: 42

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
42	BARRON CENTER	205011	1145 BRIGHTON AVE	PORTLAND	ME	4102	2018-12-07	692	E	0	1	OYJ711	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews and record review, the facility failed to provide recommended nutritional services to 1 of 1 residents (#103) reviewed with a gastrostomy tube (tube feeding) for 15 days. Finding: During an initial observation of Resident #103 on 12/3/18 at 9:30 a.m., and again on 12/4/18 at 3:41 p.m., the resident appeared well nourished and hydrated. On review of Resident #103's clinical record, the surveyor noted physician's orders [REDACTED]., dated 9/12/18 for [MEDICATION NAME] 1.2cal with water auto-flush 110ml/hour continuous for 10 hours, on at 10:00 p.m., off at 6:00 a.m. The surveyor also noted a Registered Dietitian's (RD) electronic note, dated 11/21/18, which indicated: Weights are trending down as follows (11/3) 128#(pounds); (11/11) 122#. Trend indicates a loss of 6#, 4.7% within the month, almost qualifying as significant weight loss. Care must be taken to halt further weight loss. PLAN: 1. increase weight monitoring frequency to 3 times weekly for closer monitoring. 2. Extend length of tube feeding period by 2 hours if next weight is below 122# 3. Monitor skin integrity. On further review of the clinical record, the surveyor noted no additional weights recorded in Resident #103's clinical record except one weight of 127.8#, dated 11/24/18. The surveyor interviewed the Dietary Director on 12/6/18 at 7:31 a.m., who stated the dietary department did not make the physician and nursing staff of the RD's recommendations. The Dietary Director then showed the surveyor the Nutritional [DIAGNOSES REDACTED]. The form did not indicate the physician's approval of the recommendations. The surveyor confirmed with the Dietary Director at this time that the RD's recommendations were not followed from 11/21/18 to 12/6/18.	2020-09-01