cms_ID: 39

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
39 BINGHAM MEMORIAL SKILLED NURSING & REHABILITATION 135007 98 POPLAR STREET BLACKFOOT ID 83221 2016-06-17 329 D 0 1 J25411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interviews, it was determined the facility failed to ensure residents were not administered antibiotic medications without clinical rationale for continued use. This was true for 2 of 2 resident sampled for [MEDICATION NAME] antibiotic use (#1 and #4). This created the potential for residents to experience adverse outcomes resulting from unnecessary medications. Findings include: 1. Resident #4 was admitted on [DATE], with [DIAGNOSES REDACTED]. Recapitulated Physician Orders, dated 5/1/16, documented Resident #4 received [MEDICATION NAME] 500 mg every day for [MEDICATION NAME] treatment of [REDACTED]. A History and Physical, dated 11/9/14, documented Resident #4 had an indwelling suprapubic catheter and had experienced muliple urinary tract infections over the past several months. The History and Physical noted Resident #4 was likely colonized. Being colonized means you carry the infectious agent but are not actively sick with infection. Resident #4's Monthly Pharmacist Chart Review, dated 5/25/14-5/26/16, did not contain documentation regarding medication of any kind. 2. Resident #1 was admitted on [DATE], with end stage [MEDICAL CONDITION]. A History and Physical dated 6/30/15, documented Resident #1 was on Keflex 250 mg every day for [MEDICATION NAME] treatment of [REDACTED]. A subsequent History and Physical, dated 5/1/16, documented the continuation of Keflex due to a history of chronic UTI for patient comfort. Resident #1's Monthly Pharmacist Chart Review, dated 7/10/15-5/26/16, did not contain documentation regarding medication of any kind. Resident #1 and Resident #4's medical records did not contain documentation regarding reassessments, rationale for the antibiotic's continued use, and determination of the need for the continued use of the antibiotics. On 6/16/16 at 7:30 am, the DNS stated Resident #1 and Resident #4 were receiving antibiotic therapy for chronic UTIs, and the facility did not have other paperwork other that what had been provided. On 6/20/16, the facility faxed documentation for Resident #1 and Resident #4, however the fax did not provide new or additional information on [MEDICATION NAME] antibiotic treatments for Resident #1 or Resident #4. 2020-09-01