cms_MT: 45

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
45 BELLA TERRA OF BILLINGS 275020 1807 24TH ST W BILLINGS MT 59102 2018-06-14 677 D 1 1 JJY911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation and interview, facility staff failed to answer call lights and respond to, or follow up on, resident care needs in a timely manner, for 3 (#s 3, 13, and 27), which caused #3 and #37 incontinent episodes, of 31 sampled and supplemental residents. Findings include: During an interview with the resident group on 6/12/18 at 1:56 p.m., residents stated the call light response time was terrible. They stated sometimes it would take up to one hour before someone would answer the call light. They stated, many times someone did not answer the call bell in time, and this would cause some resident's to be incontinent of bowel or bladder. The residents stated when that happened to them, it made them feel less than human or unclean. The resident group, consisting of 10 out of 10 residents, were unanimous in their feelings that the facility did not have enough staff to help all the residents with their care needs. During an interview on 6/11/18 at 2:55 p.m., resident #3 stated that when she used the toilet, she was often left in the bathroom for 45 minutes. The resident stated she was continent but had accidents (incontinent) if staff did not come for a lengthy amount of time. During an interview on 6/12/18 at 8:46 a.m., resident #27 stated that if staff did not assist in time, she had to go in her pants (incontinence). She stated she used the toilet and had no accidents if staff assisted timely. The resident stated she waited quite a while for staff to answer her call light. During an observation on 6/11/18, at 3:20 p.m., a call light went off in room [ROOM NUMBER]. room [ROOM NUMBER]'s call light was answered by staff at 3:47 p.m., after a span of 27 minutes. During an observation on 6/12/18 at 3:22 p.m., a call light was going off. Staff member M was overheard telling resident #13 that only two CNAs were on the hall. The staff member stated she was too busy to help answer call lights. During an interview on 6/12/18 at 3:30 p.m., staff members W and X stated they were traveling staff and staff W had no official training before working on the hall. They both said they were just trying to meet the needs of the residents, through their previous working experience. Staff member X stated she had worked one day on the hall, with a veteran CNA, and there had been more staff working on the entire hall, more than just two CNAs. Staff member M stated she had never worked on this floor. The three staff members stated they were unfamiliar with the residents and did not know their preferences. During an interview on 6/13/18 at 10:00 a.m., staff member Y stated traveling staff reviewed policies and she tried to have an experienced staff with them to assist on their first time in the facility. The staff member stated she was aware the staff on the floor were swamped and she tried to help when she could. The staff member stated the facility was hiring new staff and they should be on the floor soon. 2020-09-01