cms_ME: 30
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 30 |
BARRON CENTER |
205011 |
1145 BRIGHTON AVE |
PORTLAND |
ME |
4102 |
2020-01-09 |
698 |
D |
0 |
1 |
CTQP11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record review the facility failed to ensure that a resident requiring [MEDICAL TREATMENT] received services consistent with the professional standards of practice and the comprehensive person-centered care plan for 1 of 2 residents sample who receive [MEDICAL TREATMENT] services (Resident #95). Finding: On review of Resident #95's clinical record, a surveyor noted the resident was receiving [MEDICAL TREATMENT] services for [MEDICAL CONDITION], stage 5. Resident #95's physician's diet order, originally dated 7/23/19 with a re-order dated 12/17/19, indicated FLUID RESTRICTION - 1600 ml (milliliters)/day. The surveyor noted on review of Resident #95's comprehensive person centered care plan, dated 10/16/19, that [MEDICAL TREATMENT] was addressed on the care plan and indicated, I need my nurses to observe me for changes in my mental status or behavior, collaborate with Southern Maine [MEDICAL TREATMENT] regarding my fluid balances, and [MEDICAL TREATMENT] treatments on M-W-F, . monitor my fluid intake as I am on a 1600 ml (milliliters)/day fluid restriction. On review of Resident #95's electronic Medication and Treatment Administration Record (MAR/TAR), the surveyor noted documentation from 12/1/19 through 1/7/20 did not reflect consistent monitoring of fluid intake. The MAR/TAR for this time period reflected 73 out of 111 shifts where fluid intake was not monitored and 37 out of 37 days where documentation did not reflect monitoring for the entire 24 hour period. In an interview with the surveyor on 1/07/20 at 12:56 PM, the charge nurse stated she looked at Resident #95's MAR/TAR and noted that the fluid intake was not being monitored according to the physician's orders [REDACTED]. In an interview with the Director and Assistant Director of Nursing on 1/7/20 at 3:15 PM, they stated Resident #95 is active throughout the facility and is noncompliant with fluid restrictions, making it very difficult for staff to monitor the resident's intake. During the interview, the surveyor confirmed the finding. |
2020-09-01 |