cms_ID: 28

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
28	BINGHAM MEMORIAL SKILLED NURSING & REHABILITATION	135007	98 POPLAR STREET	BLACKFOOT	ID	83221	2016-06-17	155	E	0	1	J25411	Based on observation, record review and staff interviews, it was determined the facility failed to ensure staff received training necessary to understand and follow the facility's advanced directive policies. This was true for 7 of 24 sampled residents (#1, #4, #5, #21-#24) with DNR status, and had the potential to impact all residents who had established advanced directives. This failed practice created the potential for staff to initiate, or not initiate, resuscitation, contrary to residents' wishes. Findings include: On 6/12/16 at 6:35 pm, during the initial tour of the facility, the rooms of Residents' #1, #4, #5, and #21 - #24 were observed to have a blue dot by the residents' names. At 6:40 pm on the 300 hallway, CNA #6 and CNA #7 were asked what the blue dots meant. CNA #7 stated she was not sure. CNA #6 stated she did not know, but believed it meant DNR. LN #1 stated the blue dot meant the resident was a DNR. At 6:45 pm on the 400 hallway, CNA #2 stated the blue dot meant the resident was a full code. CNA #3 stated she was not sure what the blue dot meant. LN #5 stated it was the residents' code status, but did not know which and would have to check. LN #9 stated she was not sure, it was probably a code status, but at a previous place she worked it referred to assistive devices. On 6/13/16, the medical records of Residents' #1, #4, #5, and #21 - #24 were reviewed. Each residents' medical record documented the resident's code status as DNR. On 6/14/16 at 12:00 pm, the DNS stated the blue dot by residents' names meant DNR, not a full code. The DNS stated she was in the process of changing the program because it was confusing. The DNS stated that usually a code blue, means resuscitation. The DNS stated the policy was for staff to look in the chart at the actual advance directives. The code status of each resident was found in the first section of the resident's chart.	2020-09-01