cms_WY: 1291

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
1291 AMIE HOLT CARE CENTER 53A002 497 W LOTT BUFFALO WY 82834 2015-12-03 315 D 0 1 044H11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, and staff and family interviews, the facility failed to obtain a urine sample in a timely manner to identify and treat a suspected urinary tract infection [MEDICAL CONDITION] for 1 of 1 sample resident (#43) treated for [REDACTED]. 1. Review of a nursing note dated 10/22/15 for resident #43 revealed the resident's daughter told the nurse the resident was acting like s/he did the last time s/he had a UTI. The nurse noted the resident had a fever the previous night and stated s/he didn't feel well. The daughter requested a UA (urinalysis). The nurse documented a UA would be done in the morning. The following concerns were identified: a. Further review of the medical record showed the urine sample was not collected until 10/27/15 (5 days later) via catheterization. b. The only nursing note between 10/22/15 and 10/27/15 was made on 10/26/15 and indicated the nurse was unable to collect a sample list because the resident was not feeling well. c. Review of the 10/27/15 UA results showed the urine was cloudy and many bacilli were present. d. Review of physician orders [REDACTED]. The physician also ordered a culture. Review of the culture dated 10/29/15 showed Alpha strep. present- no further workup. A nursing note dated 10/29/15 showed the physician received the results of the culture and wished to continue the antibiotic. e. During an interview on 12/2/15 at 10:35 AM the resident's family member stated it shouldn't take 6 days to get a sample. f. On 12/2/15 at 4:15 PM team leader #1 stated the facility had a difficult time getting a clean catch urine sample on the resident, and finally got a sample via catheterization on 10/27/15. She also stated this occurred over a weekend, and lab was not always available. g. Review of standing physician orders [REDACTED]. Mini catheterization procedure on residents who unable to do a clean catch procedure. h. During an interview on 12/3/15 at 8:34 AM the infection control coordinator stated she was upset the UA took that long for resident #43. She stated if the staff couldn't get a clean catch urine sample, they could have done a mini catheterization that day, or the following day. 2019-07-01