cms_WY: 59

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
59	SUBLETTE CENTER	535017	333 N BRIDGER AVE	PINEDALE	WY	82941	2019-03-14	604	D	0	1	68ZB11	Based on observation, medical record review, and staff and resident interviews, the facility failed to ensure restraints were used to treat a medical condition, that the restraint was the least restrictive intervention, and that there was on-going evaluation for 1 of 6 sample residents (#18) with restraints. The findings were: 1. Review of the 2/6/19 quarterly MDS assessment revealed resident #18 had a BIMS score of 14 (intact cognition). Observation on 3/12/19 at 8:50 AM revealed CNA #1 and CNA #2 transferred the resident into a recliner in his/her room. The CNAs used the control for the recliner to recline the chair and elevate the resident's feet. The CNAs then disconnected the control, and placed it in a drawer across the room. During an interview at the time, the CNAs stated they removed the control so the resident would not use it to lower his/her feet and try to walk. During an interview on 3/12/19 at 12:53 PM the resident stated s/he was unable to change his/her position in the recliner if s/he wanted because staff removed the control because they didn't want him/her to use the control to lower the foot of the recliner. During an interview on 3/13/19 at 3:50 PM RN #1 stated staff removed the control for the recliner so the resident could not use it to lower the foot of the recliner and try to get up. The following concerns were identified: a. Review of the medical record showed no documentation of any medical symptoms related to staff removing the control for the recliner, nor was there evidence of on-going assessment to determine the continued need to remove the control for the recliner. d. On 3/13/19 at 4:19 PM the administrator stated that staff removing the control for the recliner would be considered a restraint because it restricted freedom of movement (positional change), and confirmed the facility had not gone through the normal assessment process for restraints.	2020-09-01