cms_WY: 33

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
33 GRANITE REHABILITATION AND WELLNESS 535013 3128 BOXELDER DRIVE CHEYENNE WY 82001 2018-10-12 604 D 0 1 P2JJ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, and medical record review, the facility failed to ensure a physical restraint had been assessed and was the least restrictive for 1 of 1 sample resident (#72) who was restrained. The findings were: 1. Review of the quarterly MDS assessment dated [DATE] showed resident #72 had [DIAGNOSES REDACTED]. Further review showed the resident had short term and long term memory problems, no coded behaviors, and required extensive assistance of two or more people for toilet use, transfers, walking in room and corridor, locomotion, and dressing. Review of the behavior care plan last revised on 9/11/18 showed the resident had potential for unprovoked aggressive behaviors toward others and interventions included assessment for basic needs, eliminate causes of distress, handling situations as calmly as possible, unrushed and constant routine, and diversional activities geared toward the resident's interest. The following concerns were identified: a. Observation on 10/8/18 at 11:11 AM showed resident #72 attempted to stand from his/her wheelchair and HSA #1 stood behind the resident. At that time, the HSA placed her arms around the resident, placed her hands on the resident's forearms, and applied pressure while stating (resident's name) you can't stand up in an attempt to get the resident to return to sitting in the wheelchair. The resident stated stop pushing me. The HSA remained behind the resident, and when the resident attempted to stand again, she placed her hands on the resident's shoulders and applied pressure to get the resident to sit in his/her chair. The HSA stated, You have to sit down (resident's name). The resident said, Stop it. The HSA remained behind the resident and when the resident attempted to stand a third time, the HSA placed her hands on the resident's hips and applied pressure. The resident said, Stop it, leave me alone. Stop pushing me. The HSA responded to the resident You have to sit down (resident's name). b. Interview with HSA #2 on 10/11/18 at 3:18 PM revealed when the resident tried to get up it was best to talk to (him/her) and maybe rub (his/her) back. The HSA revealed if staff tried to apply pressure to the resident's arms or shoulders it agitated him/her more and resulted in increased behaviors. Further, she confirmed applying pressure to the resident's extremities in an attempt to get him/her to sit down prevented the resident from moving independently. c. Interview with the DON and unit manager #1 on 10/11/18 at 3:38 PM revealed staff should allow the resident to stand and ensure s/he was safe. Further, it was revealed the resident became agitated when people were hovering over (him/her) or applying pressure to try and get him/her to sit down. 2020-09-01