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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
80 VALLE VISTA MANOR 275021 402 SUMMIT AVE LEWISTOWN MT 59457 2018-11-15 805 D 0 1 MIUW11 Based on observation, interview and record review, the facility failed to provide a consistent textured diet prescription, re-evaluate the effectiveness of the prescribed diet, and establish the nutrient content for 1 (#15) of 12 sampled residents. Findings include: During an observation on 11/13/18 at 12:20 p.m., resident #15 received her lunch meal in mugs, which included pureed baked beans, vegetable salad, and chicken, all thinned to the consistency of water. Review of resident #15's meal card showed, Regular Pureed, drinkable pureed. During an interview on 11/13/18 at 12:30 p.m., staff member J stated he had been told the diet was to be thinned to a water-like consistency. During an observation on 11/13/18 at 12:40 p.m., resident #15 was not able to drink out of the mugs. Staff spooned the liquid into her mouth. During an interview on 11/14/18 at 12:40 p.m., staff member N stated resident #15's ability to eat varied day to day. Some days she could use a straw, and mostly drank her chocolate ensure. During an interview on 11/14/18 at 1:43 p.m., staff member H stated resident #15's food should be pudding thick. She then stated it should be nectar thick. Staff member K stated he was just discussing the diet with the dietitian, and they were going to decide what the diet prescription should be. We all need to be on the same page. The nutrient content of the diet was not consistent or identified by the facility. Review of resident #15's weight record showed a weight loss of 25 pounds from 11/17/17 to 11/9/18. During an observation and interview on 11/14/18 , resident #15's food was in a regular pureed form. Staff member I stated it was to be pudding thick and thinned as needed by the CNA's. She stated the dietary department was not allowed to alter any textures. During an interview on 11/15/18 at 1:20 p.m., staff member O stated it was acceptable to have the CNA's thin the pureed food, because it was with water and the resident could drink water. 2020-09-01