cms_ME: 19

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.

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
19 HIBBARD SKILLED NURSING & REHABILITATION CENTER 205004 1037 WEST MAIN STREET DOVER FOXCROFT ME 4426 2019-12-17 600 D 1 0 96D111 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review, review of facility internal investigation, interviews, and information gathered during this investigation, it is determined that the facility neglected to ensure a resident's safety needs by letting the resident out of the facility unattended by a staff member for 1 of 1 opportunely (Resident #1). Finding: Documentation in Resident #1's clinical record indicates that the resident is on a Secured Unit and is diagnosed with [REDACTED]. Documentation in Resident #1's care plan dated 7/26/19, the resident has a history of falls, had impaired mobility, requires one staff member to assist to stand and assist with exercises. One assist is required when the resident is unsteady. The care plan indicates the resident losses balance easily and tends to close his/her eyes when walking due to double vision. On 8/2/19 early evening, Resident #1 asked C.N.[NAME] #1 if he/she could go out into the secured courtyard that is attached to the Secured Unit. C.N.[NAME]#1 let the resident out into the courtyard unattended by staff. On 12/17/19 at 10:00 a.m., in an interview with the Administrator, he stated that at that time (8/2/19), the courtyard was under construction. Parts of the secure fence around the courtyard was down and the ground was dug up and uneven. The door that the resident was let out from had a velcro sign across it reading 'caution construction.' On 8/2/19 and 8/5/19, C.N.[NAME] #1 wrote statements that she did let Resident #1 outside to the courtyard. She wrote that she asked the resident to stay in the courtyard, the resident said yes and C.N.[NAME] #1 wrote that she trusted the resident. She wrote that she checked on the resident a couple times and he/she was fine. Next she wrote that she heard a knock on the outside door on the opposite side from the courtyard. C.N.[NAME] #2 assisted Resident #1 back into the Secured Unit. Resident #1 had walked away from the courtyard and was seen by C.N.[NAME] #2 in the parking lot on the other side of the building from the courtyard. The resident was unharmed. On 8/2/19, C.N.[NAME] #2 wrote a statement confirming that she had seen the resident outside the Secured Unit in the parking lot. She went out and assisted the resident back into the building. C.N.[NAME] #2 wrote that C.N.[NAME] #1 thought it was ok to let Resident #1 out into the courtyard. On 12/17/19 at 10:00 a.m., in an interview with the Administrator, he stated that C.N.[NAME] #1 admitted to letting the resident outside into the courtyard despite the construction work. He stated that she believed the resident would not wander off. The resident was assessed and was not injured. He stated because of the safety issues, C.N.[NAME] #1's employment was terminated. On 12/17/19 at 10:45 a.m., in an interview with the Director of Nurses, he stated C.N.[NAME] #1 did let the resident out unattended by a staff member. 2020-09-01