cms_MT: 90

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
90 ST JOHN'S LUTHERAN HOME 275024 3940 RIMROCK RD BILLINGS MT 59102 2019-08-22 658 D 1 1 P5VQ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, interview, and record review, the facility failed to provide services which met professional standards of practice, which involved allowing a resident without an order for [REDACTED]. 1. During a medication administration observation on 8/22/19 at 8:31 a.m., staff member D provided all morning medications to resident #23, and then left the room without waiting until resident #23 had taken all of her medications. During an interview on 8/22/19 at 8:35 a.m., staff member D stated, If the elder is alert, we usually leave the meds (sic) with the elder. Staff member D denied knowledge of a self-administration of medication assessment for resident #23. Staff member D stated she goes back later and checks to make sure the medications were taken. Staff member D was unaware of any order, from the provider, which allowed the medications to be left at the bedside. During an interview on 8/22/19 at 9:14 a.m., staff member B stated there was no policy related to self-administration of medications. Staff member B stated the facility expected the nursing staff to use good judgement when leaving medications at the bedside. Staff member B stated there should be a self-administration of medications assessment, and a physician's orders [REDACTED]. Review of resident #23's Self Administration of Medication Assessment, dated 8/13/15, showed the resident did not desire to self medicate. The handwritten note showed, Nursing to administer meds while pt. @ TCN. All self-administration of medication assessments for resident #23 were requested. No other documents were provided prior to the end of the survey. Review of resident #23's physician orders, dated (MONTH) 2019, failed to show any documentation regarding allowing the self-administration of medications. A policy related to self-administration of medications was requested. No documentation was provided prior to the end of the survey. 2. During an observation and interview on 8/20/19 at 9:07 a.m., resident #76 was taking medications which were in four small medication cups. Resident #76 had taken pills during the interview from at least two of the four medication cups. No facility staff was present in the room during this interview. The resident took the medications unsupervised by facility staff. During an interview on 8/22/19 at 9:14 a.m., staff member B stated nurses were administering the medications. She stated the resident was not self-administering the medications because they were prepared by the nurse. Review of resident #76's medical record did not show any assessments regarding her ability to self-administer medications. Review of resident #76's physician orders, dated (MONTH) 2019, did not show an order for [REDACTED]. 2020-09-01