cms_MT: 5309

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
5309 APPLE REHAB COONEY 275080 2555 E BROADWAY HELENA MT 59601 2011-09-29 272 B 0 1 1B8T11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 4. Resident #6 was admitted [DATE]. Her [DIAGNOSES REDACTED]. A Significant Change in Status MDS with an ARD of 7/01/11 did not contain CAAs for Nutritional Status (12) and Psychological Well-Being (7), although both were triggered. Based on record reviews, the facility failed to complete section V with location and date of information used and complete all triggered CAAs for 4 (#s 1, 6, 11 and 12) of 14 residents reviewed. Findings include: 1. Resident #1 was admitted to the facility on [DATE]. Her [DIAGNOSES REDACTED]. An annual MDS with an ARD of 11/2/10 was not complete. ADL Function/Rehabilitation Potential (5), Urinary Incontinence and Indwelling Catcher (6), Falls (11), Nutritional Status (12), Pressure Ulcer (16) and [MEDICAL CONDITION] Drug Use (17) were among the triggered Care areas in Section V. The location and date of CAA information was not documented for care areas 5, 6, 11, 12, 16 and 17. CAAs were not available for care areas 5, 6, 11, 12, 16 and 17. 2. Resident #12 had an Annual MDS assessment with an ARD of 3/8/11 completed. Section V did not contain the dates of the information used to determine if issues needed to be addressed on the care plan for the following triggered CAAs: Cognitive Loss/Dementia (2), Visual Function (3), Behavioral Symptoms (9), Nutritional Status (12), and [MEDICAL CONDITION] Drug Use (17). The Nutritional Status CAA was triggered, but a CAA was not completed. 3. Resident #11 had a Significant Change in Status MDS assessment with an ARD of 10/10/10 completed. Section V did not contain the date of the information used to determine if issues needed to be addressed on the care plan for the following CAAs that were triggered: Falls (11) and Nutritional Status (12). The CAAs that were triggered were not all completed with the MDS. The CAAs for Cognitive Loss/Dementia (2), Visual Function (3), and Communication (4) were the only CAAs in the record. The CAAs for ADL Functional/Rehab Potential (5), Urinary Incontinence and Indwelling Catheter (6), Falls (11), Dental Care (15), Pressure Ulcer (16), and [MEDICAL CONDITION] Drug Use (17) were not addressed. 2014-09-01