cms_WY: 79

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
79	BONNIE BLUEJACKET MEMORIAL NURSING HOME	535019	388 SOUTH US HWY 20	BASIN	WY	82410	2019-03-27	641	D	0	1	GU4111	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, medical record review, and review of the Resident Assessment Instrument (RAI) manual, the facility failed to ensure MDS assessment information was an accurate reflection of resident status for 2 of 16 sample residents (#1, #26). The findings were: 1. Observation on 3/25/19 at 9:44 AM showed 1/2 side rails on both sides of the bed for resident #1. Review of the quarterly MDS assessment dated [DATE] showed the side rails were used as a restraint. The following concerns were identified: a. Interview on 3/26/19 at 9:33 AM with LPN #1 revealed the resident had never been in restraints and the side rails were used for repositioning. b. Interview on 3/26/19 at 2:48 PM with the DON revealed the side rails were used for repositioning and not as a restraint. She further stated she was not sure where to document the side rails on the MDS. 2. Review of the 2/4/19 quarterly MDS assessment showed resident #26 had no falls since the prior assessment completed on 11/12/18. The following concerns were identified: a. Review of a Post Fall Assessment and Intervention form dated 11/22/18 showed the resident had an unwitnessed fall on 11/21/18. b. Interview with the DON on 3/26/19 at 4:52 PM revealed an incident report had not been completed after the fall and submitted to administration, and as a result the fall was not recognized and recorded on the MDS assessment. According to the MDS 3.0 RAI Manual version 1.15, page 395: Determine the number of falls that occurred since admission/entry or reentry or prior assessment (OBRA or Scheduled PPS) and code the level of fall-related injury for each. Code each fall only once. If the resident has multiple injuries in a single fall, code the fall for the highest level of injury. According to the MDS 3.0 RAI Manual version 1.15, page 531: Section P: Restraints and Alarms: .the intent of this section is to record the frequency that the resident was restrained by any of the listed devices or an alarm was used at any time during the day or night during the 7-day look-back period. Assessors will evaluate whether or not a device meets the definition of a physical restraint or an alarm and code only the devices that meet the definitions in the appropriate categories .	2020-09-01