cms_WY: 23

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
23	GRANITE REHABILITATION AND WELLNESS	535013	3128 BOXELDER DRIVE	CHEYENNE	WY	82001	2017-10-04	329	D	0	1	GX9L11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to ensure the medication regimen for 1 of 20 sample residents (#90) was free from unnecessary drugs. The findings were: 1. Review of the 7/18/17 quarterly MDS assessment showed resident #90 had severe cognitive impairment and [DIAGNOSES REDACTED]. Review of the care plan, revised on 8/1/17, showed problems included dementia, feelings of depression, self isolation and verbal outbursts of screaming when ambulating or with cares. This review also showed interventions included interdisciplinary team and physician review for reduction of dosage every 3 months and report new behaviors, and worsening or violent behaviors. Review of the quarterly Psychoactive Drug and Behavior Medication Review Form, dated 6/20/17, showed the interdisciplinary team noted the resident had increased outbursts with agitation and anxiety. Review of the psychotherapy progress notes, dated 8/25/17, 9/1/17, 9/7/17, and 9/15/17 showed the resident reported depressed mood daily, little to no interest in most things, and has feelings of worthlessness. Review of the physician's orders [REDACTED]. Review of the Consultant Pharmacist Medication Regimen Reviews dated 2/13/17 - 2/21/17 and 9/25/17-9/26/17 showed the pharmacist recommended the physician review the medications for a gradual dose reduction and document a risk versus benefits rationale if the physician determined the reduction should not be done. Review of the pharmacy consultation report, dated 2/27/17, and the Psychoactive Drug and Behavior Medication Review Form dated 6/20/17 showed the physician response each time was for the medication review to be done by the psychiatrist. Interview with the DON on 10/4/17 at 11:10 AM revealed a psychiatrist was not available at the time the pharmacist made his initial recommendation. She further stated the review for the gradual dose reduction had not been done because they did not have a psychiatrist until (MONTH) (YEAR).	2020-09-01