cms_MT: 35

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
35 BELLA TERRA OF BILLINGS 275020 1807 24TH ST W BILLINGS MT 59102 2019-04-18 686 D 0 1 D2B811 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed nursing staff failed to thoroughly assess a pressure ulcer, and failed to obtain physician orders [REDACTED].#11) of 30 sampled residents. Findings include: During an observation on 4/16/19 at 11:15 a.m., resident #11 had an unstageable wound to the left heel. Review of resident #11's Admission/Readmission paperwork, dated 3/26/19, showed a pressure area to the left heel, which was unstageable, and the resident had been readmitted to the facility after a four day hospital stay. The wound measurements were not documented in the resident's paperwork. Review of resident #11's physician orders, dated 3/26/19, did not include wound treatment orders for the pressure area. During an interview on 4/17/19 at 12:40 p.m., staff member D stated she had been notified of resident #11's wound on 4/1/19, and removed the resident's Una Boots, which she believed contributed to the cause of the pressure injury to the resident's left heel. Review of resident #11's Wound Assessment Details Report, dated 4/1/19, showed the pressure area was 2.20 by 2.40 with 85 percent necrotic tissue. Review of resident #11's current treatment plan was [MEDICATION NAME] and 4x4 and wrap with gauze. The removal of the Una Boots was not documented on the plan. Review of resident #11's skin Care Plan showed it was not updated with the pressure injury until 4/15/19, over two weeks after the resident returned to the facility, although the treatment for [REDACTED]. It included off loading the resident's heel when in bed. During an interview on 4/17/19 at 1:00 p.m., staff member A stated it was typical for residents at the hospital to return to the facility without wound orders, but it was identified the facility failed to obtain the treatment order for the wound timely, to prevent worsening of the wound. 2020-09-01