cms_MT: 53

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
53	BELLA TERRA OF BILLINGS	275020	1807 24TH ST W	BILLINGS	MT	59102	2016-12-15	225	D	0	1	PSRD11	Based on record review, observation, and interview, the facility failed to ensure an accusation of verbal abuse by one (#20) of 22 sampled and supplemental residents, was reported within the required timeline (within 24 hours) to the state agency. Findings include: During an observation in the Mountain View dining room on 12/12/16 at 12:19 p.m., resident #20 stated a staff member had yelled at resident #21, stating I'll get to it when I get to it before you die. Staff member C approached resident #20, asking what was wrong. Resident #20 told the staff member again what had happened. The staff member asked which staff member it was but the resident was unsure. During an interview, directly after resident #20 reported the allegation, staff member C stated the incident sounded strange, and she/he would look into the allegation to appease resident #20. The staff member stated resident #20 was not always correct in his reporting as he had dementia. During an interview on 12/15/16 at 8:04 a.m., staff member B stated if a confused resident described an alleged verbal abuse, she would report to the head nurse, the DON, or the administrator if needed. Review of resident #20's Quarterly MDS, with an ARD of 11/1/16, showed the resident had a BIMS of 5, severe cognitive impairment. During an interview on 12/14/16 at 8:49 a.m., staff member D stated she was not aware of resident #20's accusation of any staff verbal abuse. The staff member stated there was no information in the resident's medical records of the allegation of abuse. At 10:15 a.m. staff member D stated she would investigate. At 11:02 a.m., staff member D agreed the incident should have been reported by staff member C. Staff member D reported that staff member C said she didn't see the accusation as abuse. Staff member D stated she provided education to staff member C on reporting abuse. Review of the state agency event reports showed the facility had not reported the accusation of verbal abuse until 12/14/16, after being made aware of the allegation.	2020-09-01