cms_MT: 9

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
9 BENEFIS SENIOR SERVICES 275012 2621 15TH AVE S GREAT FALLS MT 59405 2018-05-17 554 D 0 1 FGZ511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, facility staff failed to ensure 1 (#45) of 37 sampled and supplemental residents had been assessed, and had physician orders, for the self-administration of medications prior to staff leaving medications at the bedside. Findings include: Resident #45 was admitted to the Memory Care Unit (MCU) with [DIAGNOSES REDACTED]. A review of resident #45's (MONTH) (YEAR) Medication Administration Record [REDACTED] 1. D-[MEDICATION NAME] 500 mg - take 2 capsules in or with 8-10 ounces of liquid by mouth three times daily. During an observation and interview on 5/17/18 at 12:13 p.m., staff member B entered resident #45's room with two medication capsules in a medication cup. The staff member exited resident #45's room, and asked another staff member to assist the resident from the toilet back to her room. The two capsules were left on an over-the-bed table, next to a plate of salad. At 12:33 p.m., staff member B stated she wasn't sure if resident #45 had a self-administration of medications assessment in the medical record. Staff member B stated she should not have left the capsules on the table without witnessing the resident take the capsules with 8-10 ounces of liquids as prescribed. Staff member B stated she had been orienting with another staff member, earlier in the week, but that staff member was on vacation. Staff member B stated she was the only staff member in the MCU passing medications that day, and she was still learning which resident was which. During an interview on 5/17/18 at 1:00 p.m., staff member C stated no residents on the MCU had a self-administration of medications assessment on file. Staff member C stated it was not safe to let the residents of the MCU self-administer medications without staff witnessing the administration. During an interview on 5/17/18 at 1:02 p.m., resident #45 stated she was not sure if she had taken the capsules that had been left on her table. The resident was lying in bed, clutching a stuffed teddy bear. Review of resident #45's medical record, including physician orders [REDACTED]. Review of the facility's policy, Bedside Storage of Medications and Self Administration of Medications, read, Bedside medication storage is permitted and care planned for residents who are able to self-administer medications upon the written order of the prescriber and when it is deemed appropriate in the judgement of the facility's interdisciplinary resident assessment team. 2020-09-01