cms_ME: 92

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
92	ORONO COMMONS	205031	117 BENNOCH RD	ORONO	ME	4473	2019-07-31	600	E	1	0	UEYP11	> Based on observations, interviews and record reviews, the facility failed to provide adequate supervision to protect residents from resident to resident altercations for 8 of 8 residents reviewed for abuse who currently reside on their Homestead Unit. (#1, #2, #3, #4, #5, #6, #7 and #8) Findings: 1. On 3/7/19 at 8:15 a.m., Resident #4 was sitting in the living room and Resident #1 began yelling out. Resident #4 told Resident #1 loudly to be quite a few times. Resident #1 got up and slapped Resident #4 on the right shoulder. Documentation indicates that Resident #4 was very upset, and staff redirected Resident #1 away from Resident #4. Interventions in place at the time of the altercation are documented as observation, oversight and redirection. 2. On 3/7/19 at 8:30 a.m. Resident #1 approached Resident #3 who was standing in the dining room doorway and started yelling at him/her. Resident #3 yelled back at Resident #1 resulting in Resident #1 hitting Resident #3 on the upper arm. Residents were redirected by staff. Interventions in place at the time of the altercation are documented as observation, oversight and redirection. 3. On 3/7/19 at 8:45 a.m. Resident #1 approached Resident #2 who was sitting in the dining room and grabbed his/her right hand and started squeezing and twisting their fingers. Resident #2 began hollering. Residents were redirected by staff. Interventions in place at the time of the altercation are documented as observation and oversight. 4. On 3/24/19 at 9:30 a.m. staff heard Resident #1 and Resident #5 yelling at each other. Staff came out of the office and saw Resident #1 punch Resident #5 in the face with his/her fist. Resident #5 then punched Resident #1 then grabbed his/her neck area and pushed him/her to the floor. Staff intervened and assisted each resident to a different area. Interventions in place at the time of the altercation is to redirect away from the other residents when agitated and to an appropriate activity. 5. On 3/25/19 at 7:30 p.m. Resident #6 told staff that Resident #1 came into his/her room and slapped him/her in the face. There are no interventions listed as in place at the time of this altercation. 6. On 3/31/19 at 3:30 p.m. staff alerted charge nurse that Resident #7 was crying and had stated that Resident #1 had punched him/her in the nose. Interventions listed as in place are to monitor residents while in common area and dining room. Resident will be given snack/drink in the afternoon, so while waiting for meal, behaviors will be at a minimum. 7. On 4/4/19 at 4:30 p.m. staff heard yelling; they found Resident #8 and Resident #1 in the hallway with Resident #8 having wrapped his/her arms around Resident #1's neck. Staff released Resident #8's hands from Resident #1 neck and was redirected to another area. Interventions in listed in place are observation and redirection. 8. On 7/30/19 during an anonymous interview with a family member they stated that they are not very well supervised, they just don't have enough people to watch everyone, they have so many behaviors that at times they expect us the visitors to pitch in and help keep an eye on them. Which we do, we try to keep them all occupied especially if we don't see any staff around, and it doesn't matter if it's during the day or in the evening. It makes me nervous when I leave I just don't know who will watch over my loved one. 9. On 7/31/19 during an anonymous interview with a staff member they stated that Sometimes we didn't have the staff to provide the 1:1 that Resident #1 would have needed to watch them close enough. Resident #1 always yelled, and he/she was supposed to have 1:1, but due to a call out there was no 1:1 available. 10. On 7/31/19 at 10:30 a.m. during a surveyor's observations of the Homestead unit, it was noted that 1 staff member left the facility with a resident for an appointment and 1 staff was off the unit for lunch leaving 4 staff members were observed, when the surveyor asked staff who was monitoring the first part of the unit near the entrance door, (where 3 residents were notedly looking to leave the unit, and were pushing on the door and arguing with each other regarding opening the door), during this time there was no staff observed on that section of the unit. they stated the staff that left for the appointment was the one scheduled for that area and was not replaced and usually they are not replaced leaving that part of the unit unsupervised until they return. During review of the facilities incident accidents for the months prior to the above resident to resident altercations (11/1/18 to 3/31/19) documentation reflects that Resident #1 was the aggressor in 15 of those altercations. There was a total of 31 resident to resident altercations during that time frame. Review of the reports submitted to the Division of Licensing and Certification for Abuse; Resident to Resident altercations dating from 11/1/18 to 7/4/19, there were 54 reports of Abuse; Resident to Resident altercations. On 7/31/19 at 11:00 a.m. a surveyor confirmed during an interview with the Center Nurse Executive the lack of supervision for Resident#1 who was involved as the aggressor for 6 out of the 7 resident to resident altercations being investigated with 3 of the incidents occurring within a half our time span on 3/7/19.	2020-09-01