cms_MT: 48

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
48 BELLA TERRA OF BILLINGS 275020 1807 24TH ST W BILLINGS MT 59102 2018-06-14 695 D 0 1 JJY911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to have a policy to ensure regular cleaning of [MEDICAL CONDITION] equipment to prevent respiratory infection for 1 (#9) of 31 sampled and supplemental residents. Findings include: During an observation on 6/13/18 at 3:35 p.m., resident #9 was in her room. She had an oxygen concentrator and a [MEDICAL CONDITION] machine connected with tubing to a [MEDICAL CONDITION] mask at her bedside. None of the respiratory equipment was labeled for dates when it had been placed into use. During an interview on 6/13/18 at 3:35 p.m., resident #9 said she used her [MEDICAL CONDITION] machine every night for sleeping. She said she used it with humidification and pointed to a gallon jug of distilled water on her bedside table with approximately one cup of liquid left. The opened jug was not labeled with an open date. She said she would need more distilled water for the upcoming night. She said in the past she had to argue with staff to get distilled water because staff had told her it was okay to use water from the room sink, and she said she knew that was not safe. She said she had to ask staff to clean her [MEDICAL CONDITION] mask otherwise it would not get done. She said she liked to have it cleaned at least once a week. She did not remember what the manufacturer's instructions were as to how often her [MEDICAL CONDITION] equipment should be cleaned or when the last time her [MEDICAL CONDITION] machine had been checked. She said she did not know when the last time the connecting tubing to her [MEDICAL CONDITION] machine had been changed. A written request was made on 6/13/18 at 5:30 p.m. for the facility to provide a copy of the [MEDICAL CONDITION] policy. As of 6/14/18 at 10:00 a.m., a policy had not been provided. The facility did provide reference materials sent by the facility's respiratory equipment contract company that showed the [MEDICAL CONDITION] equipment manufacturer's instructions should be followed for the cleaning of each individual resident's type of [MEDICAL CONDITION] mask. During an interview on 6/14/18 at 10:00 a.m., staff member B said she was not aware that the facility had a [MEDICAL CONDITION] policy. She asked staff member Z if the facility corporation had a [MEDICAL CONDITION] policy that would apply to the facility. Staff member Z said as far as she knew the facility did not have a [MEDICAL CONDITION] policy that covered the procedures for cleaning and maintenance of resident [MEDICAL CONDITION] equipment. 2020-09-01