cms_WY: 75

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
75	BONNIE BLUEJACKET MEMORIAL NURSING HOME	535019	388 SOUTH US HWY 20	BASIN	WY	82410	2019-03-27	578	E	0	1	GU4111	Based on medical record review and staff interview, the facility failed to ensure residents' advance directive preferences were accurately documented in the electronic medical record for 4 of 16 sample residents (#10, #23, #26, #81) reviewed. The findings were: 1. Review of the advance directive for resident #10 showed the resident's preference was DNR (do not resuscitate); no nutrition or hydration by intravenous line; and chose to have pain medication, a blood transfusion, and transfer to the hospital if appropriate. Review of the resident's face sheet on the EMR (electronic medical record) showed the resident's preference was Full Code. 2. Review of the advance directive for resident #23 showed the resident's preference was DNR; chose not to have hydration or nutrition by feeding tube or intravenous line; and chose to have pain medication, a blood transfusion and transfer to the hospital if appropriate. Review of the resident's face sheet on the EMR showed the resident's preference was Full Code. 3. Review of the advance directive for resident #26 showed the resident's preference was DNR; no nutrition or hydration by intravenous line; and chose to have pain medication, a blood transfusion, and transfer to the hospital if appropriate. Review of the resident's face sheet on the EMR showed the resident's preference was Full Code. 4. Review of the advance directive for resident #81 showed the resident's preference was DNR; no nutrition or hydration by intravenous line; and chose to have pain medication, a blood transfusion, and transfer to the hospital if appropriate. Review of the resident's face sheet on the EMR showed the resident's preference was Full Code. 5. Interview with the DON on 3/26/19 at 9:34 AM confirmed the EMR had not been updated to reflect the resident's advance directive preferences.	2020-09-01