cms_MT: 89

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
89 ST JOHN'S LUTHERAN HOME 275024 3940 RIMROCK RD BILLINGS MT 59102 2019-08-22 625 D 1 1 P5VQ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review, the facility failed to ensure a resident or a resident's representative received written information regarding the Bed Hold Policy prior to a transfer, for 3 (#s 22, 100, and 135) of 29 sampled residents. Findings include: 1. During an interview on 8/20/19 at 9:55 a.m., staff member F stated that resident #100 was transferred to the hospital for a [MEDICAL CONDITION] in (MONTH) of 2019. Review of resident #100's medical record failed to show any documentation of the provision of bed hold policy information prior to her transfer to the hospital on [DATE]. During an interview on 8/22/19 at 9:55 a.m., staff member B stated the only bed hold information given to the resident and/or resident's representative was upon admission by the Admission Director. Staff member B stated the facility had not provided any bed hold information upon the transfer to the hospital. During an interview on 8/22/19 at 10:10 a.m., staff member D stated she had not provided any written information to the resident or resident's representative prior to transfer to the hospital. During an interview on 8/22/19 at 10:25 a.m., staff member F stated she had not done any written notifications to the resident or resident's representative regarding the bed hold policy. Staff member F stated she did the communication notice that informed the facility of the change for a resident upon transfer. Staff member F stated the written notices were completed by medical records, and the admissions director. 2. During an interview on 8/21/19 at 3:14 p.m., staff member B stated the facility did not notify the resident or resident's representative of a the bed hold policy upon transfer, but resident #22 was notified at admission. Review of resident #22's Iview Notification, dated 7/24/19, showed, Nurse left voicemail for (name) to return call-called and spoke with (name) and given ok to send to ED (emergency department). (sic) A request on 8/21/19 at 11:00 a.m. and 8/22/19 at 9:08 a.m., for bed hold information notification documentation on resident #22's most recent hospital transfer was not received from the facility prior to the end of the survey. 3. During an interview on 8/22/19 at 10:03 a.m., staff member A stated the facility had not been doing the bed hold notifications right and had skipped the regulation all together. Review of resident #135's Progress Note, dated 7/12/19, showed, Son (Name) notified of decline of condition and to be sent to the hospital. A request on 8/21/19 at 11:00 a.m. and 8/22/19 at 9:08 a.m., for bed hold notification information documentation on resident #135's most recent transfer to the hospital was not received from the facility. Review of the facility's Bed hold Policy Readmission Policy, dated (MONTH) 2019, showed the following: -Due to the excellence in care that our nursing facility provides to its residents and patients, it is not uncommon for our facility to be 98%-100% full. Therefore, some of our future and existing residents elect to pay bed holds when not occupying beds in order to ensure that these beds will be available when entering or returning to our facility. -No mention of notification of the bed hold information given to resident or resident's representative upon transfer to the hospital was addressed within the policy document. 2020-09-01