cms_ID: 93

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
93	GATEWAY TRANSITIONAL CARE CENTER	135011	527 MEMORIAL DRIVE	POCATELLO	ID	83201	2019-10-03	551	D	1	0	4YWP11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on record review and staff interview, it was determined the facility failed to ensure a resident's rights were not delegated to an unauthorized person for 1 of 8 residents (Resident #3) whose records were reviewed. This resulted in the potential for a resident's rights to be violated. The findings include: Resident #3 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. A quarterly MDS assessment, dated 9/12/19, documented Resident #3's BIMS score was 12, indicating she had mild cognitive impairment. The assessment also documented Resident #3 had the ability to express ideas and wants, she had clear comprehension, and she had the ability to understand others. An Advance Beneficiary Notice of Non-coverage (ABN), dated 7/8/19, documented Resident #3 had reached her maximum level of potential with her Physical and Occupational therapies and would benefit from restorative nursing. The ABN stated, Talked on phone to POA (Power of Attorney) (name of daughter) on 7/8/19 at 2:30 p.m. and is in agreement with plan. Resident #3's Face Sheet, dated 8/2/18, listed her daughter as an emergency contact, not PO[NAME] Resident #3's record included a document which stated her end of life treatment wishes and was signed by Resident #3 and dated 12/5/87. The document included a section to designate a representative for Resident #3 if she was unable to make her own decisions, which was left blank. On 10/3/19 at 7:25 AM, the DON was asked whether Resident #3 had a PO[NAME] The DON stated the facility was trying to figure it out. The facility failed to ensure Resident #3's rights were not delegated to an unauthorized person.	2020-09-01