cms_MT: 68

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
68	VALLE VISTA MANOR	275021	402 SUMMIT AVE	LEWISTOWN	MT	59457	2017-10-12	244	E	0	1	BU9C11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to consider the views of the facility's group resident council and respond to resident grievances and recommendations. This had the potential to affect all the residents in the facility, and did affect resident #12 and #13. Findings include: A review of resident #12's MDS, with an ARD of 8/10/17, showed a BIMS of 13: cognitively intact. During an observation and interview of the resident group meeting held on 10/11/17 at 10:55 a.m., resident #12 said she felt there was a need for greater communication between the group council members and the facility administration. She said during resident council meetings the residents have been given only a short time to express their concerns, and have not been given any time for discussion. She said the meeting minutes have been being taken by a facility staff member, who relayed the resident concerns to the administration or other facility departments. She said the resident group members did not hear back about their expressed concerns. The group was not sure their complaints were even being heard. She described the group meetings as rushed and driven by the agenda as verbalized by the staff person taking the meeting minutes. The meeting was not ran by the residents. She said many of the residents don't even get a chance to talk, especially if they have slow speech or speech impairments, and Then we're just blown off because we don't matter. During an observation and interview of the resident group meeting held on 10/11/17 at 10:55 a.m., resident #13 said that the reason he had quit coming to the resident group council meetings was because the facility did not respond to the resident's complaints. He said that he felt that the facility nurses and CNAs worked hard and did excellent work, but that there were too few of them to be able to meet the needs of all the residents who needed care at the same time. He said he had complained of a lack of staff several times and had never received any feedback as to whether anything was planned to be done about it. He also said that he was getting tired of being told that requests for additional activities or attention to cares would not be considered at this time due to the lack of staff. A review of the monthly resident group council meeting minutes, for the months of (MONTH) through (MONTH) (YEAR), showed minimal documentation of the concern areas expressed by residents. How many residents were affected by the concerns was not mentioned. The documentation did not show to whom the concern was communicated to, when or if investigations of problems were conducted, and whether or not resident questions were provided a response. There was no indication to show the prior month concerns had been addressed and resolved to the satisfaction of the residents. During an interview on 10/12/17 at 11:00 a.m., staff member [NAME] said she attended the resident group council meetings for the purposes of taking the meeting minutes. She said she was also responsible for investigating the residents' concerns and communicating them to administration and other appropriate facility department directors as needed. She also said she did the follow up and reporting back to the residents about their concerns. She said she did not have written documentation on any of these activities except for the meeting minutes. During an interview on 10/11/17 at 11:45 a.m., NF1 stated that the prior facility administration had a history of [REDACTED]. She said staff had been told not to make resident group council meetings a priority. NF1 expressed concern that staff members remaining in the facility as a part of the present administration would continue to have the same attitude. During an observation and interview of the resident group meeting held on 10/11/17 at 10:45 a.m., a consensus was determined amongst the residents, to invite a member of the facility's administration to a resident group council meeting for the purpose of making sure resident complaints were heard. This occurred after residents discussed amongst themselves a need to meet face to face with administration to have someone they could hold accountable for responding to their concerns.	2020-09-01