cms_MT: 79

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
79 VALLE VISTA MANOR 275021 402 SUMMIT AVE LEWISTOWN MT 59457 2018-11-15 759 E 0 1 MIUW11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure the medication error rate was less than 5%, which affected 1 (#35) of 14 sampled and supplemental residents. The facility medication error rate was 12%. Findings include: During an observation and interview on 11/14/18 at 7:48 a.m., staff member B prepared medications for resident #35. Staff member B stated resident #35 was independent and could self-administer the Metered Dose Inhalers (MDIs) without assistance. At 7:55 a.m., staff member B identified resident #35, seated in the dining room drinking coffee, and the staff member handed the resident her MDIs. Resident #35 inhaled one puff of the [MEDICATION NAME] MDI, then two puffs from the [MEDICATION NAME] simultaneously. Staff member B did not instruct resident #35 to wait 60 seconds between inhalations, or have the resident rinse her mouth with water and spit after the [MEDICATION NAME]. During an interview on 11/14/18 at 2:40 p.m., staff member B stated she should have asked resident #35 to rinse her mouth with water and spit after inhaling the [MEDICATION NAME] (steroid) MDI. Staff member B stated she was not aware the resident should have waited 60 seconds between use of the MDIs. A review of resident #35's (MONTH) (YEAR) Medication Administration Record [REDACTED] - [MEDICATION NAME]; one inhalation one time a day related to [MEDICAL CONDITIONS] with exacerbation. The start date was 10/5/18. - [MEDICATION NAME]; two puffs twice a date related to [MEDICAL CONDITION] with exacerbation. The start date was 10/4/18. During an observation on 11/15/18 at 8:18 a.m., staff member C identified resident #35, seated in the dining room drinking water, and staff member C handed resident #35 her MDIs. Resident #35 inhaled one puff of the [MEDICATION NAME] MDI, then two puffs from the [MEDICATION NAME] simultaneously. Staff member C did not instruct resident #35 to wait 60 seconds between inhalations, or have the resident rinse her mouth with water and spit after use of the [MEDICATION NAME]. During an interview on 11/15/18 at 8:30 a.m., staff member C stated she was not aware resident #35 needed to wait 60 seconds between puffs of the [MEDICATION NAME]. Staff member C stated she was not aware resident #35 should have rinsed and spit with water after inhaling the [MEDICATION NAME] MDI. Review of the facility's policy, General Dose Preparation and Medication Administration, read, .5.7- Provide the resident with any necessary instructions (e.g., using an inhaler); 5.8- Follow manufacturer medication administration guidelines. Review of the facility's policy, Medication Administration and Ordering, read, 1. The nurse or TMA/CMA administering a medication is responsible for knowing: a. Nature of medication .f. Factors that affect or modify action of medication. 2020-09-01