cms_WY: 72

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
72	BONNIE BLUEJACKET MEMORIAL NURSING HOME	535019	388 SOUTH US HWY 20	BASIN	WY	82410	2018-03-01	710	D	1	1	52NN11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on former employee interview, observation, medical record review, and staff interview, the facility failed to ensure the resident's physician wrote orders for medications for 1 of 12 sample residents (#21). The findings were: 1. Review of physician progress notes [REDACTED].#21 established care with a new physician. The progress note read .all other treatments and meds will continue as before with no changes. However, there lacked evidence of an physician order [REDACTED]. The following concerns were identified: a. Interview 3/1/18 at 8:45 AM with former employee PA #1 revealed she became aware on 2/28/18 that medication, specifically [MEDICATION NAME], was still being filled under her name for this resident, and she was no longer the provider for this resident. The PA stated she left in (MONTH) (YEAR). b. Observation of medications for resident #21 with RN #1 on 3/1/18 at 9:42 AM showed the label on the [MEDICATION NAME] and [MEDICATION NAME] had PA #1 as the current practitioner for the medication orders. c. Review of the Medications Report provided by the facility on 3/1/18 at 9:27 AM showed PA #1 was still listed as the ordering practitioner for 10 routine and as needed (PRN) medications for resident #21. d. Interview with the CNO on 3/1/18 at 9:27 AM revealed the physician did not write new orders when he took over care of the resident. She stated some medications were still under the previous provider's name.	2020-09-01