cms_ME: 57

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
57	NEWTON CENTER	205012	35 JULY STREET	SANFORD	ME	4073	2017-12-15	657	D	0	1	NQNW11	Based on observations, interviews and record review, the facility failed to revise the care plan by an interdisciplinary team who have knowledge of the resident's needs for 2 of 14 residents whose care plans were reviewed. (#27, #11) Findings: 1. On 12/11/17 at 10:44 a.m., the surveyor noted Resident #27 in his/her room very loudly and repetitively stating, I want to go to bed; I can't help it; I want to go home; I want to buy hay; and I can't find hay. Also noted was another resident loudly calling out, shut up! No further repetitive statements noted during the remainder of the survey. During an interview with the surveyor on 12/12/17 at 1:00 p.m., Certified Nursing Assistant (CNA) #1 stated that Resident #27, doesn't really understand what is going on; when (resident) is yelling out, (he/she) may be yelling out something he/she wants but it may be something totally unrelated. Lollipops calm (him/her) down, so I always keep them handy. CNA #1 further added that when Resident #27 is yelling out, he/she usually is calmed if given a sucker. In an interview with the surveyor on 12/12/17 at 1:22 p.m., CNA #2 stated that Resident #27 talks loudly and he/she will yell out vulgarities at times. In an interview with the surveyor on 12/13/17 at 9:00 a.m., a Licensed Practical Nurse (LPN) stated that Resident #27 talks really loudly and also confirmed that suckers calm (the resident) at times. The LPN confirmed in a later interview at 11:28 a.m. that when the Resident talks loudly, it does disturb another resident on the unit who yells, Shut up. On 12/13/17 at 9:09 a.m., in an interview with the surveyor, the Care Coordinator stated that Resident #27 just talks loudly and also stated that if CNAs are providing the Resident lollipops, we really don't know about it. In a follow-up interview with the surveyor on 12/13/17 at 12:23 p.m., the Care Coordinator confirmed the care plan does not address the loud and vulgar talking. She stated the team does not believe it is a behavior but then confirmed it does bother other residents. The Care Coordinator also confirmed that other approaches such as 1:1 and lying the resident down for a nap are utilized when Resident #27 is loudly making sexual comments or repetitive verbalizations. The Care Coordinator then confirmed that these behaviors and approaches are not on the care plan. On 12/13/17 at 1:13 p.m., in an interview with the surveyor, both Minimum Data Set (MDS) coordinators, confirmed that the MDS did accurately assess that there were no behaviors at the time of the assessment, but they also confirmed that care plan did not address behaviors and confirmed that the CNAs are not invited to attend the care plan meetings but they are working on that. 2. On 12/14/17 at 11:15 a.m., Resident #11's care plan lacked evidence that the care plan was revised to reflect a change in skin condition when Resident #11 acquired a diabetic ulcer, noted in a physician's note dated 8/8/17. On 12/14/17 at 12:15 p.m., in an interview with a surveyor, the MDS Coordinator confirmed that the care plan was not revised to reflect a change in skin condition.	2020-09-01