cms_MT: 92

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
92	ST JOHN'S LUTHERAN HOME	275024	3940 RIMROCK RD	BILLINGS	MT	59102	2019-08-22	759	D	1	1	P5VQ11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on observation, interview, and record review, the facility failed to ensure a medication error rate less than 5%. The observed error rate was 12.35%. The errors involved not remaining with the resident to ensure the medications were taken, which included a narcotic, which is a Schedule II medication, for 1 (#23) of 38 sampled and supplemental residents. Findings include: 1. During a medication administration observation on 8/22/19 at 8:31 a.m., staff member D administered the following medications to resident #23: - aspirin 81 mg - calcium with vitamin D 600/400 mg - vitamin D 1000 IU - [MEDICATION NAME] 500/400 mg - Senna Plus 8.6/50 mg - [MEDICATION NAME] 40 mg - [MEDICATION NAME] 600 mg, 2 tablets - [MEDICATION NAME] 20 mg - potassium chloride 20 mEq - [MEDICATION NAME] with [MEDICATION NAME] 5/325 mg After handing the cup containing medications, staff member D left resident #23's room. Staff member D did not observe resident #23 taking the medications given to her. During an interview on 8/22/19 at 8:35 a.m., staff member D stated, If the elder is alert, we usually leave the meds (sic) with the elder. Staff member D denied knowledge of a self-administration of medications assessment for resident #23. Staff member D stated we go back and check later to make sure the medications were taken. Staff member D was unaware of any order from the provider which allowed the medications to be left at the bedside. During an interview on 8/22/19 at 9:14 a.m., staff member B stated there is no policy related to self-administration of medications. Staff member B stated the facility expected the nursing staff to use good judgement when leaving medications at the bedside. Staff member B stated there should be a self-administration of medications assessment and a physician's orders [REDACTED]. Review of resident #23's Self Administration of Medication Assessment, dated 8/13/15, showed the resident did not desire to self medicate. The handwritten note showed, Nursing to administer meds while pt. @ TCN. (sic) All self-administration of resident #23's medication assessments were requested. No documention was provided prior to the end of the survey. Review of resident #23's physician orders, dated (MONTH) 2019, failed to show any documentation regarding the self-administration of medications. A policy related to self-administration of medications was requested. No documentation was provided prior to the end of the survey.	2020-09-01