cms_ID: 87

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
87 GATEWAY TRANSITIONAL CARE CENTER 135011 527 MEMORIAL DRIVE POCATELLO ID 83201 2019-04-12 883 D 0 1 WTPU11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on policy review, record review, and staff and resident interview, it was determined the facility failed to ensure residents were offered the pneumococcal vaccine and information and education consistent with current Centers for Disease Control and Prevention recommendations. This was true for 1 of 7 residents (Resident #23) reviewed for pneumococcal immunizations. This failure created the potential for harm to residents should they acquire, transmit, or experience complications from pneumococcal pneumonia. Findings include: The Centers for Disease Control and Prevention (CDC) website, updated 11/22/16, documented recommendations for Pneumococcal vaccination (PCV 13 or Prevnar13(R), and PPSV 23 or [MEDICATION NAME](R)) for all adults [AGE] years or older: * Adults [AGE] years or older who have not previously received PCV 13, should receive a dose of PCV 13 first, followed 1 year later by a dose of PPSV 23. *If the patient already received one or more doses of PPSV 23, the dose of PCV 13 should be given at least 1 year after they received the most recent dose of PPSV 23. The facility's Immunizations policy and procedures, dated 9/2018, directed staff to minimize the risk of residents acquiring, transmitting, or experiencing complications from pneumococcal pneumonia by assuring that each resident was informed about the benefits and risks of immunizations and had the opportunity to receive, unless medically contraindicated or refused or already immunized, the pneumococcal vaccine. Resident #23 was admitted to the facility on [DATE], with multiple [DIAGNOSES REDACTED]. Resident #23's quarterly MDS assessment, dated 2/1/19, documented her cognition was intact, and her pneumococcal vaccination was up to date. Resident #23's record documented she received [MEDICATION NAME] 23 pneumococcal vaccine on 10/10/14. Resident #23's record did not include documentation she received the Prevnar 13 pneumococcal vaccine, consent, or information about the benefits and risks of pneumococcal immunization. On 4/11/19 at 8:10 AM, the ADON stated Resident #23's record did not include documentation she was offered or educated on the Prevnar 13 vaccine and stated she should have been offered and provided the education. On 4/12/19 at 9:17 AM, Resident #23 stated she was not offered the pneumococcal vaccination or informed about the benefits and risks of immunizations on admission or otherwise during her stay in the facility. 2020-09-01