cms_WY: 82

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
82	BONNIE BLUEJACKET MEMORIAL NURSING HOME	535019	388 SOUTH US HWY 20	BASIN	WY	82410	2019-03-27	684	D	0	1	GU4111	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, medical record review, and policy and procedure review, the facility failed to perform neurological assessments and post-fall reviews for 1 of 2 (#26) sample residents with falls. The findings were: 1. Review of the 2/4/19 MDS assessment showed resident #26 was admitted to the facility on [DATE] and had [DIAGNOSES REDACTED]. Further review showed the resident had a BIMS score of 6/15 (severe cognitive impairment); required the extensive assistance of one staff member for bed mobility, transfers, dressing, and toilet use; required the limited assistance of one staff member for locomotion on the unit using a wheelchair or walker; and used a bed and chair alarm daily. 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 when the resident was found lying on his/her left side under the his/her walker. Neurological checks were initiated; however, the neurological section of the form was left blank. b. Review of a nurse's note dated 11/22/18 and timed 10:44 AM showed Neuro checks intact. Further review of the progress notes showed no further neurological assessments had been completed. 2. Review of the policy and procedure Care Following a Fall last revised 10/3/14 failed to address the procedure following an unwitnessed fall or a fall with a head injury. 3. Interview with the DON on 3/26/19 at 4:52 PM revealed it was her expectation that any unwitnessed fall or head injury be followed per standard of practice and verified only one neurological assessment had been completed after the resident's fall. In addition she confirmed the policy and procedure did not include the standard of practice and was in the process of being revised.	2020-09-01