cms_ME: 81
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 81 |
BANGOR NURSING & REHABILITATION |
205020 |
103 TEXAS AVE |
BANGOR |
ME |
4401 |
2017-09-14 |
441 |
E |
0 |
1 |
B3L911 |
Based on observations and interviews, the facility failed to maintain an Infection Control Program designed to prevent the development of infection related to ulcer treatment for 1 of 3 residents reviewed for ulcers (#68). In addition, the facility failed to maintain a resident's commode in a sanitary manner for for 1 of 3 commodes observed stored in resident rooms (#25). Findings: 1. On 9/11/17 at 1:44 p.m., a surveyor observed Resident #25's commode stored in the resident's bathroom in the shower area. The seat on the commode and inside the bowl was soiled with dried on fecal material. On 9/12/17 at 10:59 a.m., two surveyors observed that the same commode in Resident #25's bathroom was still soiled with the same fecal material as the day before. On 9/12/17 at 11:15 a.m., in an interview with the surveyor, the Clinical Coordinator confirmed this finding. On 9/13/17 at 11:10 a.m., during an environmental tour, a surveyor, the Director of Nursing Services (DNS) and the Maintenance Supervisor observed and confirmed that Resident #25's commode was still in the resident's bathroom with the same dried on fecal material as the two days before. 2. On 9/13/17 8:10 a.m., surveyor observed Register Nurse Charge Nurse Long Term Care Unit (RN) perform a dressing change on Resident #68. RN placed a Ziploc type bag containing wound care supplies on the resident's soiled bed sheet. The RN applied clean gloves then raised the resident's bed RN asked the Certified Nurse's aide (CNA) to assist, and they applied clean gloves then removed the Multipodus boot from resident's left foot and repositioned the sheet over the resident. CNA was holding Resident #68's left foot off the pillow with gloved hands. Without changing the gloves the RN removed the outer dressing of the wound and the primary dressing from the wound bed while using the same gloved hand to pick out the remaining dressing in the wound bed. RN then cleansed the wound with the normal saline spray bottle and gauze; then placed the spray bottle on the soiled bed sheet and asked the CNA to hold the gauze on the wound, with the same gloved hand the CNA held the gauze in place. The RN then reached into the Ziploc type bag with the same gloved hand and removed the calcium alginate dressing and proceeded to cut the alginate to fit the wound. At this time the surveyor confirmed the above findings with the RN. RN then cleansed his/her hands with sanitizer and applied a clean pair of gloves to finish the dressing change. On 09/13/17 at 11:35 a.m., the surveyor confirmed above findings with the Assistant Director of Nursing. |
2020-09-01 |