cms_ME: 54

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
54 NEWTON CENTER 205012 35 JULY STREET SANFORD ME 4073 2018-12-13 698 D 0 1 IWWA11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to ensure that a resident requiring [MEDICAL TREATMENT] receive services consistent with the professional standards of practice for 1 of 1 resident receiving [MEDICAL TREATMENT] services (#41). Finding: On review of Resident #41, a surveyor noted the resident was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. Resident #41 had a physician's orders [REDACTED]. Also included in Resident #41's clinical record was the Care of the A-V Fistula or Graft that indicated, Check the access for the presence of a bruit and/or thrill several times a day. If the bruit or thrill is not detectable, notify the [MEDICAL TREATMENT] unit and nephrologist immediately. On review of Resident #41's Treatment Administration Record, the surveyor noted documentation supporting monitoring of the A-V fistula does not reflect consistent provision of care. The (MONTH) (YEAR) Treatment Administration Record reflected 12 out of 93 shifts where provision of A-V fistula monitoring for thrill and bruit was not documented; The (MONTH) (YEAR) Treatment Administration Record reflected 18 out 90 shifts where provision of A-V fistula monitoring for thrill and bruit was not documented; and (MONTH) 1 through 11, (YEAR) Treatment Administration Record reflected 6 out 33 shifts where provision of A-V fistula monitoring for thrill and bruit was not documented. In an interview with the Registered Nurse - Nurse Coordinator on 12/13/18 at 5:54 a.m., the surveyor confirmed that documentation does not reflect Resident #41's A-V Fistula site was checked for thrill, bruit and site maintenance each shift. 2020-09-01