cms_ME: 4019

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
4019	RUMFORD COMMUNITY HOME	205099	11 JOHN F KENNEDY LANE	RUMFORD	ME	4276	2011-04-07	329	E			LLBR11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the clinical record for 1 of 23 Stage 2 sampled residents (Resident #27), lacked documentation to justify the continued use of an antipsychotic medication and failed to show evidence of an attempt at a gradual dose reduction after September 2008. Finding: Resident #27 had been receiving the antipsychotic medication, [MEDICATION NAME], since June 2007. The initial [DIAGNOSES REDACTED]. In February 2008 the dose of the [MEDICATION NAME] was reduced from 4 milligrams (mg) every evening to 2 mg every evening. According to documentation in the clinical record, a further attempt to discontinue the [MEDICATION NAME] failed in September 2008. The 12/28/10 annual Minimum Data Set (MDS) 3.0 identified the resident as exhibiting no mood issues and the only behavior identified was wandering. Again, the only behavior identified on the 03/22/11 MDS 3.0 was wandering. The 12/30/10 Care Area Assessment form indicated that behaviors triggered however, the decision was made not to proceed to care plan as the resident's wandering was not disruptive to other residents or activities. On 04/06/11 at 2:00 p.m. and 2:45 p.m., in interviews with the surveyor, four different Certified Nursing Assistants stated that Resident #27 was not combative or resistive to care and that the only behavior exhibited was wandering. There was no evidence found in the clinical record that a gradual dose reduction of the [MEDICATION NAME] was attempted after September 2008 and that there were adequate indications for the continued use of the antipsychotic. The surveyor discussed this finding with the Administrator, on 04/06/11 and with the Director of Nursing Services, on 04/07/11.	2014-04-01