cms_WY: 1

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
1 GRANITE REHABILITATION AND WELLNESS 535013 3128 BOXELDER DRIVE CHEYENNE WY 82001 2019-04-11 550 E 1 1 TYBQ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, staff interview, and medical record review, the facility failed to ensure residents were treated in a dignified manner. This failure affected 4 of 37 sample residents (#24, #62, #112, #220). The findings were: 1. Review of the 2/1/19 annual MDS assessment showed resident #24 had moderate cognitive impairment; required supervision with ambulation; and required extensive assistance with toileting, dressing, and personal hygiene. Review of the care plan, revised 12/27/18, showed the resident was at risk for ADL self-care performance deficit related to [DIAGNOSES REDACTED]. Further review showed care plan interventions included directions for staff to assist the resident with choosing simple comfortable clothing that enhanced his/her ability to dress self and provide supervised assistance with dressing. The following concerns were identified: a. Observation on 4/7/19 from 4:45 PM to 9:30 PM showed the resident wore his/her shirt inside out. Continuous observation showed the shirt seams were visible and the buttons were interiorly positioned against his/her chest. Further observation showed the resident ambulated independently throughout the halls and dining area. b. Observation on 4/8/19 from 8:50 AM to 2:30 PM showed the resident wore the same shirt inside out. c. Observation on 4/9/19 at 10 AM showed the resident continued to wear the same shirt inside out. At that time the DON was observed walking with the resident to his/her room to change the shirt. Continued observation showed the resident was compliant and allowed the DON to assist him/her without resistance. 2. Observation on 4/8/19 at 9:56 AM showed resident #62 had visibly wet pants and was taken to the toilet by CNA #2. After toileting the resident the CNA redressed the resident in the wet pants and returned him/her to the dining room. During interview with the CNA at that time the CNA stated It's probably just juice . 3. Observation in the second floor dining room on 4/7/19 at 6:03 PM showed resident #112 had vomited down the front of his/her shirt and pants, and a staff member took the resident to his/her room. Observation in the hallway near the resident's room on 4/7/19 at 7:44 PM showed the resident was wearing a different shirt, however, his/her pants remained the same and had a stain on the left upper pant leg. 4. Review of the 4/2/19 admission MDS assessment showed resident #220 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The resident had a BIMS score of 12/15 (moderate cognitive impairment); had an indwelling catheter; required the extensive assistance of one staff member for transfers, locomotion, dressing, toilet use, and personal hygiene; and required supervision for eating. The following concerns were identified: a. Observation on 4/8/19 at 5:52 PM showed the resident was in the dining room for the evening meal. CNA #1 was seated across from the resident using her cell phone and not interacting with the resident. Interview with the CNA at that time revealed the resident required assistance back to his/her room and she was waiting for the resident to complete his/her meal. b. Observation on 4/8/19 at 8:04 AM showed the resident was in the dining room with his/her catheter bag hanging uncovered from the right side of his/her wheelchair. c. Observation on 4/8/19 at 10:58 AM showed the resident was in the therapy room with his/her catheter bag uncovered. There were 10 additional residents and staff present in the therapy room at that time. d. Observation on 4/8/19 at 12:16 PM showed the resident was in the dining room for the noon meal with his/her catheter bag uncovered. e. Interview on 4/10/19 at 9:11 AM with the DON revealed it was her expectation catheter bags be placed in a privacy bag to promote dignity. In addition, she stated it was the facility's policy that staff not use their personal cell phones during working hours, except for an emergency. 2020-09-01