cms_MT: 2887

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.

Data source: Big Local News · About: big-local-datasette

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
2887	PIONEER CARE AND REHABILITATION	275124	200 N OREGON ST	DILLON	MT	59725	2015-02-25	323	D	0	1	9YVE11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 1. Resident #11 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the resident's Comprehensive Care Plan showed the resident had limited physical mobility relating to neurological deficits. The resident was also at risk for falls, had an unsteady gait, decreased muscle endurance and strength, perceptual and cognitive impairment, amputation, depression and severe anxiety. Interventions on the care plan included monitoring for evidence of complications related to immobility (e.g., contracture, redness, open areas, and venous stasis) and report as identified. The Interim Plan of Care, dated 11/27/14, showed under section 3, Mobility, resident #11 was a one person assist with a gait belt. During an observation on 2/24/15 at 11:45 a.m., resident #11 requested staff member K, CNA, to assist her to the toilet. At 11:51 a.m., staff member K washed her hands, put on clean gloves, and began to assist the resident to the toilet. Staff member K lifted the resident up and out of the wheelchair by pulling up on the resident's pants, which lifted the resident. The CNA used her own knee to push the resident back onto the toilet to a sitting position, after the resident's pants were removed. Several times the resident voiced difficulty holding herself up by using the grab bars next to the toilet. It was observed that the resident's grip on the bars was loose. A gait belt was not used during the transfer. At 11:53 a.m., staff member K used a gait belt to assist the resident from the toilet to the wheelchair. Based on observation and record review, the facility failed to ensure staff use a gait belt for transfer on 1 (#11) of 13 sampled residents.	2018-08-01