cms_WY: 83

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
83	BONNIE BLUEJACKET MEMORIAL NURSING HOME	535019	388 SOUTH US HWY 20	BASIN	WY	82410	2019-03-27	727	F	0	1	GU4111	Based on observation, review of staffing schedules, staff interview, review of the CNO/DON job description, and review of the facility assessment staffing matrix, the facility failed to ensure the services of a registered nurse were utilized for 8 hours a day 7 days a week. In addition the facility failed to ensure the director of nursing served the facility on a full time basis. The census was 29. The findings were: 1. Multiple observations from 3/25/19 to 3/27/19 showed the DON was not readily available in the facility. 2. Interview with the DON on 3/26/19 at 5:08 PM revealed she oversaw both the nursing home and the hospital. She stated the facility had hired a registered nurse as the manager of the facility who will report to her, however that person had not yet started work at the facility. She further stated she was available during the day shift to help with issues. 3. Review of the CNO/DON position description, issued 4/2/15, showed .the Chief Nursing Officer (CNO) assumes full time administrative authority, responsibility and accountability of the delivery of nursing services for south Big Horn County Hospital and[NAME]Blue[NAME]et Nursing Home . 4. Review of the (MONTH) nurse staffing schedule revealed 9 days where an RN was not scheduled (3/1, 3/13, 3/15, 3/18, 3/19, 3/20, 3/22, 3/23, 3/24). Interview on 3/26/19 at 10:50 AM with the DON revealed on weekends the facility was staffed with LPNs. She stated when an RN was not scheduled, there were 2 charge RNs on the hospital side who were immediately available to help as needed. She further added during the week she was always available to help. Review of the facility assessment (YEAR) showed the staffing matrix was to have one RN or LPN for each shift.	2020-09-01