cms_UT: 78

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
78 PIONEER CARE CENTER 465020 815 SOUTH 200 WEST BRIGHAM CITY UT 84302 2017-03-16 325 D 0 1 Q9V711 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review it was determined that the facility did not assist 1 of 34 sample residents, with maintaining acceptable parameters of nutritional status, such as usual body weight or desirable body weight and electrolyte balance, unless the resident's clinical condition demonstrated that this was not possible or resident preference indicated otherwise. Specifically, a resident had lost a significant amount of body weight and had a low [MEDICATION NAME] level without documented interventions. Resident identifiers: 5. Findings include: Resident 5 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident 5's medical record was reviewed on 3/15/17. The following weights were documented in resident 5's electronic medical record: (Note: All weights were in pounds.) a. 3/6/17, 170 b. 2/27/17, 165.4 c. 2/20/17, 169.4 d. 2/13/17, 167.0 e. 1/9/17, 170 f. 1/2/17, 169.5 g. 12/29/16, 170.5 h. 12/19/16, 172.4 i. 12/6/16, 176 j. 11/30/16, 181 k. 11/23/16, 180 l. 11/17/16, 182 Resident 5 experienced a 5.1 % (percent) weight loss from 11/17/16 to 12/19/16. In addition, resident 5 experienced an 8.2 % weight loss from 11/17/16 to 2/13/17. (Note: The Minimum Data Set revealed that over 5% weight loss in 1 month and greater than 7.5 % in 3 months was considered a significant weight loss.) Resident 5's physician's orders [REDACTED]. Resident 5's laboratory values dated 1/19/17 were reviewed and revealed a low [MEDICATION NAME] level on 1/19/17 of 3.2 gm/dL (grams per deciliter) with a reference (normal) range of 3.4-5.0 gm/dL. Resident 5's total protein was low at 6.0 gm/dL with a reference range of 6.4-8.2 gm/dL. A Mini (miniature) Nutritional assessment dated [DATE] revealed that resident was at risk for malnutrition. The form revealed that resident 5's weight decreased 12 pounds in 3 months which was documented as not significant. It was documented that there was no weight since 1/9/17. There was no other information regarding resident 5's weight loss or low [MEDICATION NAME] level. A care plan was developed on 11/9/16 and updated on 12/31/16, 1/12/17 and 2/28/17. The problem was, I (resident 5) have nutritional status r/t (related to): Obesity with BMI (Body Mass Index) 38.(Resident 5) asks for traye (sic) not to be sent (at) times. The goals developed were, My weight will remain stable plus or minus 5% in 30 days through next review, My nutritional needs will be met through po (oral) intake through next review, My food preferences will be honored through next review. The approaches were, Offer and provide alternates for meals less than 50% eaten,. Weights per order. Notify physician of significant changes, .(Resident 5) has food in fridge (refrigerator). Brings from home (and) buys from store. On 3/16/17 at 10:30 AM, an interview was conducted with resident 5. Resident 5 stated that she had a [MEDICAL CONDITION] about [AGE] years ago and needed to eat small portions multiple times a day. Resident 5 stated that she had her own foods because she did not like the food offered by the facility. Resident 5 stated that when she was admitted in (MONTH) (YEAR) the Dietary Manager (DM) discussed her food preferences and resident 5 asked for small portions with snacks. Resident 5 stated that she had not received small portions with snacks as requested. Resident 5 stated that no dietary staff had discussed her weight loss or low [MEDICATION NAME] level with her. Resident 5 stated that she did not plan to loose weight as fast as she did. On 3/16/17 at 10:20 AM, an interview was conducted with the DM. The DM stated that resident 5 was at risk for malnutrition but did not know why the Registered Dietitian (RD) did not address the significant weight loss or low [MEDICATION NAME] level. The DM stated that resident 5 ate at the senior center for lunch most days and had her own foods in her room. The DM stated that she did not calculate that resident 5 had a significant weight loss for 1 and 3 months. The DM stated there was no documentation that resident 5 had been assessed by the RD. The DM stated that resident 5 should have been assessed and reviewed by the RD for her significant weight loss and low laboratory values. 2020-09-01