cms_ME: 65

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
65 BANGOR NURSING & REHABILITATION 205020 103 TEXAS AVE BANGOR ME 4401 2019-07-17 622 E 1 0 2DG411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and interview the facility failed to re-admit a resident from a hospital during an appeal of a facility-initiated discharge and failed to ensure the physician documented the care need (s) the facility could not meet for 1 of 1 hospitalized resident issued a facility-initiated discharge notice (#253). Finding: Review of Resident #253's clinical record reveals that he/she was admitted in (MONTH) of (YEAR) with [DIAGNOSES REDACTED]. On [DATE] the record reveals Resident #253 was transferred to an acute care hospital and was subsequently admitted for treatment of [REDACTED].#253 remains hospitalized . A review of hospital records reveals that on [DATE] the hospital communicated with the facility that Resident #253 was ready for discharge, the facility responded indicating Our facility can no longer meet (Resident #253) needs due to (Resident #253) bariatric status. The hospital responded was (Resident #253) not bariatric prior to her admission. On [DATE] Bangor Nursing & Rehabilitation Center sent a letter to Resident #253 indicating your bed hold has expired, and you have been discharged from our facility. We will not be able to accept you to Bangor Nursing & Rehabilitation Center on the basis that your current needs cannot be met by our facility. The letter provided information on how the resident could appeal this decision, and further informs the resident a nursing facility may not transfer or discharge a resident until a decision is rendered if that resident has requested a hearing within 10 days of receipt of notice. Unless the health or safety individuals is in immediate risk or immediate transfer or discharge is necessitated by the resident's urgent medical need. Hospital progress notes dated [DATE] indicate that the [MEDICAL CONDITION] has resolved and Resident #253 medically ready for discharge. On [DATE] Resident #253 appealed the notice of facility-initiated discharge and requested a hearing. Further review of Resident #253's clinical record does not provide documentation by the physician to indicate the specific resident needs that the facility could not meet, facility efforts to meet those needs; and the specific services any receiving facility will provide to meet the needs of Resident #253 that cannot be met at Bangor Nursing & Rehabilitation Center. On [DATE] Resident #253's appeal hearing was held, the decision of that hearing is as follows Bangor Nursing & Rehabilitation Center did not meet the regulatory requirements for an involuntary discharge of (Resident #253). Bangor Nursing & Rehabilitation Center shall readmit (Resident #253) to (his/her) previous room if available or immediately upon the first availability of a bed in a semi-private room if (Resident #253) (A) Requires the services provided by the facility; and (B) Is eligible for Medicare skilled nursing facility services or Medicaid nursing facility services. As of [DATE] Resident #253 remains in the hospital awaiting placement to the facility, 177 days after the request for appeal. On [DATE] at 1:09 p.m. in an interview, a surveyor confirmed with the Director of Nursing (DON) that there is no documentation by a physician indicating the specific resident needs that cannot be met at the facility. A surveyor also confirmed with the DON that the resident has not been readmitted to the facility pending appeal and decision for re-admission. The DON stated the facility realized they cannot accommodate the needs of Resident #253 due to the resident's increasing weight and need for [MEDICAL CONDITION] treatment. 2020-09-01