cms_WY: 14

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
14	GRANITE REHABILITATION AND WELLNESS	535013	3128 BOXELDER DRIVE	CHEYENNE	WY	82001	2019-04-11	881	E	1	1	TYBQ11	> Based on review of the antibiotic stewardship policy and procedure and staff interview, the facility failed to develop and implement an active and effective antibiotic stewardship program. The census was 118. The findings were: Interview on 4/11/19 at 8:28 AM with the infection preventionist revealed she had been working on the floor and had not been able to devote time to all of the infection control duties. She stated she started the surveillance and periodic audit system for monitoring wound dressing changes, ADLs, and hand hygiene, but the most current audits were completed in (MONTH) (YEAR). She stated she started developing the antibiotic stewardship program, but it had not been fully implemented. She also confirmed the program did not include active participation from prescribing practitioners and pharmacist. Review of the antibiotic stewardship program forms, documentation, and monitoring records showed an effective system for tracking and identifying appropriate antibiotics and reviewing laboratory sensitivity reports. However, the infection control nurse was unable to provide evidence the following sections of the Antibiotic Stewardship Program policy and procedure, published (MONTH) (YEAR), had been operationalized: a. Protocols that identify what infection assessment tools or management algorithms to be used for one or more infections. b. A process for a periodic review of antibiotic use by prescribing practitioners: c. A system for the provision of feedback reports on antibiotic use, antibiotic resistance patterns based on laboratory data, and prescribing practices for the prescribing practitioner.	2020-09-01