cms_MT: 978

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.

Data source: Big Local News · About: big-local-datasette

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
978 CLARK FORK VALLEY NURSING HOME 275107 10 KRUGER RD PLAINS MT 59859 2018-03-08 761 E 0 1 GWLR11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to dispose of expired insulin for 1 (#14) of 12 sampled residents; and failed to dispose of expired stock medications which had the potential to affect all residents who received those medications. Findings include: 1. During an observation and interview on 3/6/18 at 9:20 a.m., resident #14's Humalog (insulin) Kwikpen showed an open date of 1/28/18. Staff member H stated the date indicated the insulin pen had been opened and first used on 1/28/18. She stated insulin bottles (vials) could only be kept for 28 days after opening, but she was uncertain for the pens. During an interview on 3/6/18 at 9:27 a.m., staff member H stated the rule applied to the insulin pens as it did for the insulin bottles, and she would throw it out and access the new insulin supply that was available in the refrigerator. Staff member H stated resident #14 had been receiving the insulin every day since it expired. Review of resident #14's physician's orders [REDACTED]. Review of resident #14's (MONTH) and (MONTH) (YEAR) MARs showed the order for [MEDICATION NAME] had not been updated to reflect the use of the Humalog insulin instead of the [MEDICATION NAME] insulin. The MARs showed insulin had been administered to resident #14 from one to four times every day for the nine days the insulin had been expired. During an interview on 3/8/18 at 8:53 a.m., staff member A stated the facility had received an order from resident #14's physician that the Humalog insulin could be substituted for [MEDICATION NAME] until the Humalog supply was all used. She then clarified, saying the order did not show the insulin was to be used beyond the expiration date. Staff member A stated the policy for multi-dose vials also applied to insulin pens. Review of a policy titled, Multi-Dose Vials, Care of, last revised 7/2017, showed, Insulin will be labeled appropriately and discarded 28 days from the date of opening. 2. During an inspection of the medication room storage cupboards, on 3/6/18 at 4:08 p.m., the following was observed: -Antacid liquid 12 oz. bottle, expired 2/18. -Children's Tylenol, expired 12/17. During an interview on 3/6/18 at 4:10 p.m., staff member H stated that assuring there are no expired medications in the cupboard was every nurse's responsibility. She said the night nurse used to monitor the cupboard for expired medications, but recently traveling nurses were working, and the task was not being done consistently. 2020-09-01