cms_WY: 37

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
37	GRANITE REHABILITATION AND WELLNESS	535013	3128 BOXELDER DRIVE	CHEYENNE	WY	82001	2018-10-12	645	D	1	1	P2JJ11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on medical record review, and staff interview, and review of Wyoming Medicaid PASRR guidelines, the facility failed to ensure residents with categorical determinations had a PASRR Level II completed within the identified time frames for 1 of 3 sample residents (#81) reviewed. The findings were: 1. Review of the significant change MDS assessment dated [DATE] showed resident #81 was admitted to the facility on [DATE], had physical behaviors 4 to 6 days and verbal behaviors 1 to 3 days during the look back period, and [DIAGNOSES REDACTED]. The following concerns were identified: a. Review of a PASRR Level I dated 5/21/18 showed the resident had a psychiatric [DIAGNOSES REDACTED]. Further review showed the categorical 6 determination qualified the resident for convalescent care after acute hospital stay, not to exceed 120 days and the facility was to attach current LT101, current history and physical, and comprehensive drug history. An individual Level II determination will be required on 121st day, please plan accordingly. b. Review of a PASRR Level II determination completed on 5/23/18 showed the determination was requested on 5/18/18, prior to the resident's hospitalization . The determination was completed 2 days following the resident's admission to the facility, however there was no evidence a PASRR Level II was requested after the resident had been at the facility for 30 days. c. Review of the Wyoming MEDICAID PASRR Update dated 8/2017 showed .Categorical 6- A medical condition following a discharge from an acute care hospital, for which convalescent care is expected to require less than 120 days in a NF (nursing facility) .If the individual will continue to require NF placement, past the day limit stated above, he/she MUST have a full Level II PASRR evaluation completed BEFORE the end of the exempted period. (A new PASRR Level I needs to be repeated in the portal and PASRR II packet faxed to Optum). The earliest a provider can submit a request for an expiring Categorical Determination PASRR II is 30 days after admission . d. Interview with the admissions coordinator on 10/11/18 at 4:05 PM revealed the resident was going to be admitted from another skilled nursing facility which resulted in the facility initiating the PASRR II on 5/18/18; however, the resident was hosptalized on [DATE] and required the completion of a PASRR Level I which resulted in the categorical 6 determination.	2020-09-01