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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
67 VALLE VISTA MANOR 275021 402 SUMMIT AVE LEWISTOWN MT 59457 2017-10-12 243 E 0 1 BU9C11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to make all residents aware of upcoming resident group meetings in a timely manner and encourage resident attendance. This had the potential to discourage all residents from attending group meetings and prevent expression of resident concerns regarding care received by the facility, and affected 3 (#s 9, 11, and 12) of the 13 sampled residents. Findings include: During an interview on 10/10/17 at 4:50 p.m., staff member [NAME] was requested to assist to notify residents of a special resident group meeting planned to allow residents to express concerns and complaints to state surveyors, without the presence of facility staff. She agreed to do so, saying she would advertise it like she did resident group council meetings. She stated she would post the scheduled meeting on the activities calendar outside her office in the hall and also would verbally invite residents who she knew were active members in the facility's regular resident group meeting. Staff member [NAME] was asked to recruit some of the facility CNA staff to speak with all the residents and let them know they were all invited to the meeting. During an observation of a resident group meeting, scheduled for 10/11/17 at 10:45 a.m., the following was noted: Ten minutes before the meeting, staff member [NAME] said that residents were not showing interest in attending the meeting, and said she thought maybe only 2 or 3 were planning on attending. NF1 overheard this statement, and went from resident to resident relaying the purpose of the meeting. Within ten minutes, eight residents had gathered, and the meeting was started at 10:55 a.m. Two of the residents, #s 9 & 11, stated during the meeting they had not been previously informed of the meeting. Resident #12 said the resident group council meetings were not well advertised and sometimes only two or three residents attended, even though the meetings were held at the same time and day every month. She said she wanted the facility staff to verbally remind all of the residents, before scheduled resident group meetings, that they were invited to attend. During an interview on 10/11/17 at 11:45 a.m., NF1 stated that the prior facility administration had a history of [REDACTED]. She said the prior administrator said residents had to have a certain level of mental capacity and ability to verbally communicate to be able to participate in the group resident council. She said that staff members were told by the administrator which residents to invite to the resident group meetings. She said staff had been told not to make resident group council meetings a priority. NF1 expressed concern that staff members remaining in the facility, as a part of the present administration, would continue to sort of have the same attitude. A review of the Resident Council Minutes for the months of (MONTH) through (MONTH) of (YEAR), showed six residents attended on 5/11/17; five residents attended on 6/15/17; six residents attended on 7/13/17; three residents attended on 8/17/17; and four residents attended on 9/28/17. On 10/10/17, the facility had a total of 36 residents. 2020-09-01