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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
70 VALLE VISTA MANOR 275021 402 SUMMIT AVE LEWISTOWN MT 59457 2017-10-12 280 D 0 1 BU9C11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to update and revise the care plan for 1 (#4) out of 10 sampled residents. This failure had the potential to confuse staff members as to the appropriate precautions to be taken to prevent the resident from potential harmful falls. Findings include: Resident #4 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. He was not ambulatory, secondary to lower extremity weakness, and required staff assistance to transfer. During an observation of the facility's South Dining Room, on 10/10/17 at 3:45 p.m., resident #4 was observed in his Broda chair with his feet resting on the lower footrests. His upper torso was stretched forward, out of the chair, with his arms and full upper body weight resting on the dining room table before him. With his right facial cheek against the table cushioning his head, his eyes were closed, and he appeared to be sleeping. His Broda chair was not locked in position. Two other residents were in the room sitting in wheelchairs at dining tables several feet away. They were calling out for staff help for unknown reasons. No staff was in the room or in the nearby hall. Resident #4 had been in the dining room since lunch. A review of resident #4's fall incident reports and care plan showed the resident had multiple falls from (MONTH) (YEAR) through (MONTH) (YEAR). Resident #4's care plan also showed the following: I need staff to transfer me into a recliner in South Dining Room after all my meals. Initiated: 04/18/17. A review of resident #4's care plan, under a focus regarding him as a high fall risk, showed the following on page number eight: Do not leave me unsupervised in my Broda at any time. If I stay in my Broda I must be in a location where staff can supervise my activity. Otherwise I should be transferred into a recliner or into my bed. Date initiated: 04/18/2017. During an interview, on 10/12/17 at 12:10 p.m., staff member A said that Resident #4 no longer needed to be supervised while he was in his Broda chair. She explained that originally the resident had a Broda chair that was much too large for him, and he slipped down and fell out of it often. She said the resident was using a different Broda chair, one made to fit him, and he no longer had falls. When she was shown the resident's care plan regarding the need to transfer the resident to a recliner and not leave him unsupervised in his Broda chair, she stated resident 4's care plan should have been updated a long time ago. She said his care plan did not show that the resident's physical condition had improved since his readmission on 4/14/17. 2020-09-01