cms_WY: 47

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
47	GRANITE REHABILITATION AND WELLNESS	535013	3128 BOXELDER DRIVE	CHEYENNE	WY	82001	2019-10-30	684	D	1	0	MTHS11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on medical record review, staff interview, and policy and procedure review, the facility failed to complete wound assessments for 1 of 9 residents (#1) reviewed for wound care. The findings were: 1. Review of the medical record showed resident #1 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the admission minimum data set (MDS) assessment, dated 6/24/19 showed the resident had a surgical wound that required surgical wound care. The following concerns were identified: a. Review of the Admission/Readmission Nursing Evaluation, not dated, showed a diagram of the human body with documentation that [MEDICAL CONDITION] lesion removed. The evaluation failed to show any documentation of the surgical site, including location, size, wound appearance, odor, and dressing. b. Review of the care plan showed an initiation date of 6/25/19, and interventions included observe/assess surgical site every shift per MD order until healed. Review of the nursing progress notes revealed a late entry documentation dated 10/11/19, which showed (the [MEDICAL CONDITION] ) began to get larger and getting an odor . Continued review of the nursing progress notes for (MONTH) failed to show any assessments of the wound site. Further review of the medical record failed to show an assessment of the surgical wound. c. Interview with the director of nursing on 10/30/19 at 12:00 PM revealed the facility had no additional information on wound assessments for this resident. d. Review of the Skin Integrity Policy, updated (MONTH) 2019, showed .6. For skin impairment identified with admission, the LN (licensed nurse) completes the following: a.documents skin impairment that includes measurements of size, color, presence of odor, exudates, and presence of pain associated with the skin impairment in Nurse's Notes and on the Weekly Wound Evaluation .9. Wounds are evaluated weekly by Center clinicians .surgical wounds .are evaluated, measured and findings documented in the medical record .	2020-09-01