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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
95 ST JOHN'S LUTHERAN HOME 275024 3940 RIMROCK RD BILLINGS MT 59102 2017-11-08 253 E 0 1 8YVD11 Based on observation and interview, the facility failed to maintain and repair areas on Wing #7's bath house and the transitional care unit's kitchen to provide a sanitary environment. The facility failed to maintain 2 of 5 cottage exterior doors to prevent potential pest control issues. The facility failed to deep clean one resident's room on Wing #7. This deficiency had the potential to affect the residents who used or occupied these spaces. Findings include: 1. During a fire safety tour observation and interview with staff F on 11/7/17 at 8:53 a.m., Wing #7's bath house was inspected. The door frame of the bath house was damaged, and was not cleanable. The trim at the bottom of the door was hanging off the door and dragging on the floor with sharp nails exposed. The lower portion of the door frame was rotted. The paint, was bubbled and chipped, and rendered the surface uncleanable. Staff member F called the maintenance department on his cellular phone and reported the issue. 2. During a fire safety tour observation and interview with staff G on 11/7/17 at 8:28 a.m., the door to room #727 was open on Wing #7. From the hallway, a heavy accumulation of dust, food (Cheetos and fish shaped crackers), plastic packaging, a piece of garment, and other debris were observed under the bed. The resident was not in the room for interview. Staff member G stated the resident did not refuse housekeeping services. Staff member G stated the resident frequently ate snacks in the bed. Staff member G stated the housekeeping staff worked from 9:00 a.m. to 3:00 p.m., but he did not know the deep cleaning frequencies and procedures. Staff member G did not provide additional information on the room cleaning protocol, including the deep cleaning frequencies, schedules and/or the logs to show when the room was last cleaned, and when the rooms were regularly cleaned. 3. During a fire safety observation and interview with staff L on 11/7/17 at 8:55 a.m., a rectangular piece (measuring approximately 2 inches by 3 inches), of the wood cabinet housing the dish sanitizer in the transitional care unit's kitchen, was torn off and missing. The surface was rotted and uncleanable. The floor along the edge of the sanitizer was covered in a heavy accumulation of dirt and food debris. Staff member L was asked about the procedures for notifying the maintenance staff for concerns and issues. Staff member L stated they notified the maintenance via an email. She said she notified the maintenance about a month ago about the damaged cabinet. 4. During a fire safety tour observation and interview with staff F on 11/7/17 at 10:09 a.m., the east exit door in the Liggett cottage was warped and prevented a proper seal (light shining through the gaps) at the top and along the door and the frame, creating a potential for improper pest control. Staff member F, who accompanied the surveyor, stated the maintenance department would be notified. 5. During a fire safety tour observation and interview with staff F on 11/7/17 at 12:10 p.m., the west exit door in the Jensen cottage lacked a proper seal with the door frame, creating a potential for improper pest control. The light shone through the gaps between the door and the door frame. Staff member F stated the door would be repaired. 2020-09-01