cms_ID: 76

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
76	GATEWAY TRANSITIONAL CARE CENTER	135011	527 MEMORIAL DRIVE	POCATELLO	ID	83201	2018-04-12	656	D	1	0	0IO011	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on record review and staff interview, it was determined the facility failed to implement comprehensive resident-centered care plans. This was true for 2 of 4 (#3 and #6) residents reviewed for diabetes management care plans and had the potential for harm if residents experienced hyper/hypoglycemic (high/low blood sugar) events. Findings include: 1. Resident #3 was admitted to the facility on [DATE] with diagnoses, including diabetes mellitus. An admission MDS assessment, dated 2/12/18, documented Resident #3 was cognitively intact and required extensive assistance of 1-2 staff members for cares. The care plan addressing diabetes mellitus, dated 2/20/18, documented signs and symptoms of [DIAGNOSES REDACTED] and [MEDICAL CONDITION]. The care plan did not include instructions for staff on how to treat hypoglycemic events or hyperglycemic events. On 4/12/18 at 5:35 PM, the ADON stated the care plan should have documented staff were to follow the facility's diabetic protocol. The ADON stated the diabetic protocol was located on the nursing medication carts for all the nurses to reference. 2. Resident #6 was admitted to the facility in (YEAR) and readmitted on [DATE] with multiple diagnoses, including diabetes mellitus. The care plan addressing diabetes mellitus, dated 3/7/18, documented staff were to assess Resident #6 for signs of skin breakdown and provide diabetic medications as ordered. The care plan did not include instructions for staff on how to treat hypoglycemic or hyperglycemic events and the symptoms of [DIAGNOSES REDACTED] and [MEDICAL CONDITION] staff were to monitor for. On 4/12/18 at 5:35 PM, the ADON stated the care plan should have documented staff were to follow the facility's diabetic protocol.	2020-09-01