cms_MT: 6

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
6	BENEFIS SENIOR SERVICES	275012	2621 15TH AVE S	GREAT FALLS	MT	59405	2017-03-09	411	D	0	1	KTFZ11	Based on record review, and interview, the facility failed to provide dental care for a resident who had a fractured tooth, for 1 (#5), and for a resident who had been referred for dental services, and who had mouth pain and discomfort, for 1 (#17) of 24 sampled residents. Findings include: 1. During a record review, the dental hygienist progress note for resident #5, dated 8/5/16, showed resident #5 had a missing crown with a fractured tooth. The hygienist documented that resident #5 needed to see a dentist. During an interview on 3/8/17 at 2:40 p.m., staff member S said staff member HH was the person who would schedule appointments with the dentist. During an interview on 3/8/17 at 3:30 p.m., staff member HH said she scheduled appointments with the dentist for residents, identified by the dental hygienist, who needed dental work done. Staff member HH said resident #5 saw the dental hygienist in (MONTH) of (YEAR), but she had not been scheduled to see a dentist. Staff member HH said the facility was having problems finding a dentist that would take residents with a medicaid pay source. Staff member S provided a copy of a document stating resident #5 was scheduled to see a dentist on 3/14/17, although this had not occurred prior to the survey. 2. During a record review of resident #17's Admission MDS, with an ARD of 2/28/17, section L, titled Oral/Dental Status, showed resident #17 had no natural teeth, and he had mouth or facial pain, discomfort or difficulty with chewing. The facility's dietician had noted the resident was to have chopped meat. During an observation on 3/8/17 at 12:30 p.m., resident #17 was eating spaghetti with meatballs. The meatballs had been cut into bite sized pieces. Resident #17 also had applesauce, and a piece of cake. The other residents seated at the table had spaghetti with meatballs, a garlic breadstick, and a piece of cake. During an interview on 3/8/17 at 12:30 p.m., resident #17's family member said the resident was eating applesauce instead of the garlic breadstick because He doesn't have any teeth so he can't eat it. The family member was referring to the garlic breadstick. During an interview on 3/9/17 at 10:00 a.m., resident #17's family member said the dietitian had modified resident #17's diet so he could eat better. The family member said resident #17's meat had to be chopped so he could eat it. The family member also said resident #17 might have an abscess in his mouth because he was having so much mouth pain. The family member said resident #17's dentures were broken. The family member said resident #17 had not seen a dentist since admission to long term care. The family member said facility staff notified her, on 3/8/17, that an appointment had been scheduled for resident #17 to see a denturist on 3/14/17. During an interview on 3/8/17 at 3:30 p.m., staff member HH said a denturist appointment had been scheduled for resident #17. Staff member S provided a copy of a document showing resident #17 was scheduled to see a dentist on 3/14/17.	2020-09-01