cms_ME: 74

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.

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
74 BANGOR NURSING & REHABILITATION 205020 103 TEXAS AVE BANGOR ME 4401 2018-08-08 645 D 0 1 FGCE11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record reviews and interviews, the facility failed to ensure that the State mental health authority for Pre-Admission Screening and Resident Review (PASRR) was notified when the nursing home stay of a resident with a mental health [DIAGNOSES REDACTED].#11, #46). Findings: 1. A review of Resident #11's clinical record indicated he/she was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED].#11 had a Pre-Admission Screening and Resident Review (PASRR) Level I screen with a determination letter, dated 5/30/18, indicating a PASRR level 1, TIME-LIMITED WAIVER, was good for only 30 days, and which directed the facility to notify the State mental health authority if the individual's stay was expected to exceed 30 days. On 8/7/18, the surveyor interviewed Resident #11 who was still present in the facility. On 8/7/18 at 9:50 a.m., during an interview with the surveyor, the Social Service Director (SSD) stated that she did not send the required information to the State mental health authority for a final PASRR Level 1 determination as was indicated on the letter for the 30 day waiver. The surveyor confirmed this finding at this time. 2. Resident #46 was originally admitted to the facility on [DATE] from another Long Term Care (LTC) facility. Resident #46's clinical record indicated Resident #46 had a medical [DIAGNOSES REDACTED].#46 had a [MEDICAL CONDITION] (other than [MEDICAL CONDITION]). Resident #46 was discharged to the hospital on [DATE] and returned to the facility on [DATE]. The hospital completed a Level 1 PASRR screen on 6/28/18. Page 2 of this screen was completed inaccurately and failed to indicate Resident #46 had a mental illness. On 8/7/18 at 9:50 a.m., during an interview with a surveyor, the Social Services Director (SSD) stated that the hospital sent the facility the Level 1 PASRR screen instead of KEPRO, the agency that determines whether a Level II screen is necessary. She stated that if page 2 is check marked all no's it does not need to be sent to KEPRO. However, page 2 was not completed correctly with Resident #46's mental illness. The SSD stated she should have checked the PASRR Level I screen when it was sent to her from the hospital to ensure that it was filled out correctly. The surveyor confirmed this finding during this interview. On 8/7/18 at 9:10 a.m. and on 8/8/18 at 9:00 a.m., a surveyor confirmed these findings in an interview with the Social Service Director. 2020-09-01