cms_MT: 96

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
96 ST JOHN'S LUTHERAN HOME 275024 3940 RIMROCK RD BILLINGS MT 59102 2017-11-08 278 D 0 1 8YVD11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to accurately code the communication, cognition, mood, and pain status, for 2 (#s 11 and 19) of 25 sampled residents. Findings include: 1. Review of resident #11's Significant Change MDS, with the ARD of 9/26/17, showed the resident was always understood and sometimes understands. The Brief Interview for Mental status, showed a score of 0, which reflected severe cognitive impairment. The Mood interview and Pain interview were conducted with the resident. The interviews showed no pain, and no mood indicators. During an interview on 11/7/17 at 3:30 p.m., staff member C stated she did not realize the BIMS assessment should be stopped at question #4 if the resident was unable to answer. She also stated she never looked at Section B, the ability to communicate, and that resident #11's pain and mood interviews may not be accurate, because of her severe cognitive impairment. 2. Resident #19 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of resident #19's Quarterly MDS, dated [DATE], showed she only sometimes understood communication; she had a BIMS score of 0 (zero) severely impaired, and a PHQ9 of 0 (zero) no mood symptoms. Resident #19's MDS showed her behaviors of inattention, disorganized thinking, and altered level of consciousness, which were continuously present and did not fluctuate. The prior two Annual MDS assessments showed the BIMS assessment and the mood assessment had not been completed by the resident. During an interview on 11/7/17 at 3:35 p.m., staff member [NAME] said she was relatively new to her position and to the MDS process. She said she had not understood that if a person could not respond to the BIMS questions during an interview, the BIMS assessment should be ended. During the BIMS assessment for resident #19, the resident had not been able to directly respond to any of the assessment questions posed. The facility coded 0 for the BIMS summary score, when 99 (unable to complete the interview) should have been entered as the summary score. During the same interview on 11/7/17 at 3:35 p.m., staff member [NAME] said resident #19 was unable to complete the PHQ9 mood assessment using direct interviewing. Staff member [NAME] said she completed the mood assessment using general conversation with resident #19. She said that resident #19 would not have been, and was not, cooperative with answering questions, and that resident #19 tended to be suspicious of people. Staff member [NAME] said she used her knowledge of resident #19 to fill out the information on the mood assessment. An error was made when filling out the mood assessment as the resident, rather than as a staff member. 2020-09-01