cms_MT: 34

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
34 BELLA TERRA OF BILLINGS 275020 1807 24TH ST W BILLINGS MT 59102 2019-04-18 657 D 0 1 D2B811 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to update the comprehensive care plan for a resident with a severe weight loss, for 1 (#17) of 30 sampled residents. Findings include: During an observation on 4/16/19 at 6:23 p.m., resident #17 received pureed soup and ice cream for dinner, and the resident was not served the entire pureed meal, per the facility menu plan. Review of resident #17's Nutrition Care Plan, dated 4/11/18, showed she had the potential for alteration in nutrition. The care plan was not updated with a severe weight loss, and the plan did not specify the resident's dinner meal should be limited. Review of the nutrition goal showed, I will not lose greater than five percent (weight) and I will eat greater than 75%. All interventions, except for one, were dated 4/11/18. A new intervention, dated 11/15/18, was for a mechanical soft diet texture. A review of resident #17's physician orders [REDACTED]. The resident's weight loss had been occurring over the past year. During an interview on 4/17/19 at 8:20 a.m., staff member T stated she would update the resident's care plan with any new interventions. 2020-09-01