cms_ME: 53

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
53	NEWTON CENTER	205012	35 JULY STREET	SANFORD	ME	4073	2018-12-13	688	E	0	1	IWWA11	Based on interviews and record review, the facility failed to provide services to maintain and/or improve residents' highest level of range of motion (ROM) and/or mobility for 2 of 2 residents reviewed for limited range of motion (Resident #15 and #26). Findings: 1. On 12/11/18 at 10:33 a.m., in an interview with the surveyor, Resident #15 stated, they don't do any exercises of range of motion. On review of Resident #15's care plan, dated 2/7/18 with the most recent review of the care plan dated 10/11/8, the surveyor noted the resident has limited physical mobility with the approach to provide gentle range of motion as tolerated with daily care. On further review of Resident #15's clinical record, the surveyor noted documentation sheets, indicating PROM with instructions to initial and document the amount of time spent on the exercises. The documentation for (MONTH) (YEAR) indicated the resident received PROM a total of five out of 60 shifts and from 12/1/8 through 12/12/18, the documentation indicated Resident #15 did not receive and PROM services. In an interview with Minimum Data Set Coordinators (MDS-C), Registered Nurses (RN) on 12/12/18 at 12:31 p.m., They stated that the PROM is done by the assigned Certified Nursing Assistants (CNA) with caregiving. On 12/12/18 at 1:42 p.m., a CNA stated in an interview with the surveyor that he/she does not perform PROM when giving care unless assigned to be the restorative aide for the shift. In a follow-up interview with the MDS-C on 12/12/18 at 2:30 p.m. the surveyor confirmed that PROM services are not being provided as care planned. 2. On 12/11/18 at 10:09 a.m., during an interview with the surveyor, Resident #26 stated that staff do not routinely exercise me. On review of Resident #26's clinical record, a surveyor noted a restorative program, dated 7/1/18, to: > maintain or improve (Resident #26's) ability to ambulate 15 to 100 feet with 2 staff assist for a minimum of 15 minutes daily, 6-7 days a week; > maintain or improve (Resident #26's) functional transfer ability with 1 staff assist for a minimum to moderate assist for a minimum of 15 minutes daily, 6-7 days a week; and > (Resident #26) will maintain or improve Assisted Active Range of Motion (AAROM) to right upper extremity for a minimum of 15 minutes daily, 6-7 days a week. A review of the clinical documentation in (MONTH) (YEAR), the resident received or was offered restorative ambulation services 8 times; in (MONTH) (YEAR) - 12 times; and through 12/1/18 - 12/12/2018 - 2 times. A review of clinical documentation in (MONTH) (YEAR), the resident received or was offered restorative transfer services 11 times; in (MONTH) (YEAR) - 8 times; and through 12/1/18 - 12/12/2018 - 8 times. A review of clinical documentation in (MONTH) (YEAR), the resident received or was offered restorative range of motion services 8 times; in (MONTH) (YEAR) - 12 times and through (MONTH) 12, (YEAR) - none. A Rehab Screen Form, dated 8/10/18, indicated no change in the Resident's status. On 12/12/18 at 1:42 p.m., a CNA stated in an interview with the surveyor that he/she does not perform restorative services when giving care unless assigned to be the restorative aide for the shift. In a follow-up interview with the MDS-C on 12/12/18 at 2:30 p.m. the surveyor confirmed that restorative services are not being provided as care planned.	2020-09-01