cms_MT: 61
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
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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| 61 |
BELLA TERRA OF BILLINGS |
275020 |
1807 24TH ST W |
BILLINGS |
MT |
59102 |
2016-12-15 |
425 |
D |
0 |
1 |
PSRD11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, and interviews the facility failed to ensure accurate dispensing and administration of a medication to one resident (#7) of 19 sampled residents. Findings include: Review of resident #7's (MONTH) (YEAR) MAR, showed the resident was allergic to sulfa (Sulfonamide Antibiotics). The resident had received a medication, Bactrim DS, 800 mg, on (MONTH) 1, (YEAR), to be given at the a.m. medication pass. Bactrim DS was a medication that contained sulfa. During an interview on 12/14/16 at 9:30 a.m., staff member K stated that to determine what medications a resident would be allergic to, she would have looked on the residents MAR. She stated she would have asked the resident what allergies [REDACTED]. She also stated that if a resident had received a medication they had an allergy to, the pharmacy should have been notified. A resident assessment should have been completed, including vital signs, and an incident report or risk watch form, should have been completed. During an interview on 12/13/16 at 5:00 p.m., staff member NF2 stated the pharmacy had original admission orders [REDACTED]. He stated it was a pharmacy medication error that resident #7 had been given a medication she was allergic to. He also stated he was not sure how the medication containing sulfa slipped through the cracks. During an interview on 12/14/16 at 5:00 p.m., staff member D stated a risk watch form was an internal facility investigation tool. She also stated resident #7 had told the nurse she was allergic to Bactrim after she had already been given the medication. Staff member D stated there had not been a risk watch form, or an incident report filed for the medication administration error. She also stated she was not sure how the error slipped through the physician and the pharmacy. Review of the facility's Resident Accident Incident Policy, dated 2/10/16, showed that upon identification of an incident, the information should be documented on an incident report. A note should be placed into the resident's medical record of the incident and the facts, which would include the physician and family responsible party notification. The policy also showed that an investigation would be completed within 5 days and appropriate action would be taken. The facility policy was not followed relating to the deficient practice. |
2020-09-01 |