cms_ME: 67

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
67	BANGOR NURSING & REHABILITATION	205020	103 TEXAS AVE	BANGOR	ME	4401	2019-07-17	626	D	1	0	2DG411	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on record review and interviews, the facility failed to readmit 1 of 1 Resident (#253) back to the facility following a hospitalization . Finding: On 1/6/19 Resident #253 was transferred to the hospital and subsequently admitted for treatment of [REDACTED].#253 remained hospitalized . A review of the Notice of Bed Hold indicated, Effective Date of Notice: 1/6/19, and Duration of Bed Hold: 10 days The facility Bed Hold policy indicated, If a bed hold is not available or obtained, (the facility) will always accept a referral for re-admission of a patient sent to a hospital, and if we can meet your needs at that time of referral and have and appropriate bed, then we will readmit you. Documentation in a Hospital Medicine Progress Note by physician #2 dated 1/20/19 states under Assessment/Plan, Patient medically ready for discharge - awaiting SNF (skilled nursing facility) placement. Care manager assisting. Communication from the electronic referral system between the hospital and the facility shows communication from the hospital on [DATE] at 2:20 p.m. that patient ready for d/c (discharge), from the facility on 1/14/19 at 2:54 p.m. that Status changed to decline. No appropriate bed. Patient too complex., from the facility on 1/14/19 at 3:47 p.m. that Our facility can no longer meet his/her needs due to his/her bariatric status. Review of Resident #253's clinical record does not provide documentation by the physician to indicate the specific resident needs that the facility could not meet, facility efforts to meet those needs; and the specific services any receiving facility will provide to meet the needs of Resident #253 that cannot be met at Bangor Nursing & Rehabilitation Center. From 7/15/19-7/17/19 during onsite survey visits, the facility census was 52 with total available beds at 60. The facility admitted on e resident after the surveyor's entrance to the facility. On 7/17/19 at 1:09 p.m. in an interview, a surveyor confirmed with the Director of Nursing (DON) that the DON stated the facility realized they cannot accommodate the needs of Resident #253 due to the Resident's increasing weight and need for [MEDICAL CONDITION] treatment. The Resident was admitted to the hospital with [REDACTED]. As of 7/17/19 Resident #253 has not been readmitted to the facility.	2020-09-01