cms_MT: 44

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
44 BELLA TERRA OF BILLINGS 275020 1807 24TH ST W BILLINGS MT 59102 2018-06-14 658 D 0 1 JJY911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to follow professional standards of practice for counting narcotics at shift change to ensure the proper count for narcotics for 1 (#52); and failed to administer a medication as prescribed by a physician's orders [REDACTED]. Findings include: 1. During an observation on 6/13/18 at 1:45 p.m. staff member G was preparing medications for resident #52. A review of the resident's MAR indicated [REDACTED]. Staff member G took one pill out leaving seven pills. Staff member G opened the narcotic book to sign out the [MEDICATION NAME]. The book showed there were seven pills left and when staff member G took one out, there would then be six pills left. The last dose of [MEDICATION NAME] signed out was on 6/12/18 at 10:30 p.m. by staff member R. Staff member G looked at the pill she had taken out and stated the color of the pill was different than the color of the [MEDICATION NAME]. The [MEDICATION NAME] was dark purple in color and the pill taken out was light pink in color. [NAME] tape was observed taped on the back of the blister pack. Staff member G requested staff member C to come to the unit. Staff member G informed staff member C of the findings. During an interview on 6/13/18 at 1:45 p.m., staff member G stated she had counted the narcotics at shift change with staff member R. She stated staff member R looked at the book and she looked at the narcotic blister pack. She stated they would call out the page number for the medication while one nurse would look at the blister pack and the other nurse would look at the narcotic book during the count. During an interview on 6/13/18 at 2:25 p.m. staff member Q stated the nurses normally call the page number out, one nurse looks at the blister pack, and one nurse looks at the narcotic book. She stated neither of the nurses look at both the blister pack and the narcotic book when counting the narcotics. During an interview on 6/14/18 at 10:00 a.m., staff member C stated both staff members G and R had been suspended pending an investigation. 2. During an observation of medication administration on 6/12/18 at 7:50 a.m., staff member AA administered resident #43 one calcium antacid chewable tablet of 500 mgs orally. A review of resident #43's Order Review Report, showed the resident was ordered to receive calcium [MEDICATION NAME] 600 mg tab, 1 tab PO one time per day. During an interview on 6/13/18 at 8:45 a.m., staff member U was shown resident #43's physician's orders [REDACTED].#43's corresponding medication bottle from the facility's medication cart. She provided the same stock bottle of calcium antacid tablets, 500 mgs per tab, that had been used to administer resident #43's calcium [MEDICATION NAME] on the morning of 6/12/18. Staff member U was shown resident #43's physician order [REDACTED]. During an interview on 6/13/18 at 3:00 p.m., staff member A said the new corporation took over the administration of the facility on (MONTH) 1st of this year. He said prior to (MONTH) the facility owned pharmacy allowed resident families to bring into the facility over the counter medications purchased from outside retail stores to be given to the resident by the nurses if the resident's physician had ordered the medication. Staff member A said this was no longer allowed by the present pharmacy. He said he thought this explained the reason for the discrepancy in the dose and type of calcium that resident #43 had been receiving as compared to what the resident's physician had ordered. 2020-09-01