cms_ME: 75

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
75	BANGOR NURSING & REHABILITATION	205020	103 TEXAS AVE	BANGOR	ME	4401	2018-08-08	684	E	0	1	FGCE11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to follow a physician order [REDACTED]. Findings: 1. Documentation in Resident #5's clinical record, under the physician order [REDACTED].#5 has an order, dated 7/3/18, for Do not hospitalize, Hospice referral. On 7/3/18, a nurse's note indicated that the Social Service Director was notified of the Hospice referral. On 8/8/18 at 11:12 a.m., in an interview with the Social Service Director, she stated that on 7/5/18, she phoned the referral in and left a phone message, but did not write a note in the resident's clinical record indicating the referral had been done. She also stated that she did not follow up on the referral until the surveyor addressed it on 8/8/18-23 business days later. There is no evidence in Resident #5's clinical record that a referral was made for Hospice services. 2. Resident #46's clinical record contained a progress note, dated 7/27/18, that revealed the Physician was ordering a [MEDICATION NAME] quick taper due to Resident #46 has hives. The clinical record contained a physician order, dated 7/27/18, that directed to give [MEDICATION NAME] 20 milligrams (mg) 1 tablet by mouth (PO) for 1 day then 15 mg 1 tablet PO for 1 day and then 10 mg 1 tablet PO for 1 day and then 5 mg 1 tablet PO for 1 day then stop. Review of Resident #46's Medication Administration Record [REDACTED]. On 8/8/18 at 10:46 a.m., during an interview with a surveyor, the Director of Nursing (DON) stated that she would check into why the medication wasn't administered daily as ordered. On 8/8/18 at 12:15 p.m. during an interview with the DON, the surveyor confirmed that the medication wasn't administered as ordered.	2020-09-01