cms_WY: 19

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
19	GRANITE REHABILITATION AND WELLNESS	535013	3128 BOXELDER DRIVE	CHEYENNE	WY	82001	2017-10-04	244	E	1	1	GX9L11	> Based on observation, family and staff interview, review of policy and procedures, and grievance log, the facility failed to effectively act on grievances for 4 of 4 months reviewed (June, July, August, (MONTH) of (YEAR)) to improve handling of resident's personal laundry. The findings were: Observation of the laundry room on 10/4/17 at 10:51 AM revealed there was a portable laundry rack in the laundry room which contained clothing whose ownership was not identifiable due to not being labeled or the labeling was too faded. Interview at that that time with facility laundry manager #1 revealed they let the cart fill up then every couple of months the clothing rack was brought to the resident floors to see if the clothing could be identified by staff, residents or family members. Clothing not identified was discarded. The laundry room had a heat press to affix permanent labels to clothing. Staff indicated that this was used when nurses sent laundry that specifically needed a label affixed, such as dark clothing where markers would not show. Further,the laundry manager stated there were markers specifically made to withstand high heat up to 500 degrees, however, these were not commonly used by the nurses. He confirmed the regular sharpie markers used by staff to mark clothing was not ideal and lasted only 3-4 months. Review of grievance logs for (MONTH) (YEAR) through (MONTH) (YEAR) showed complaints laundry was not returned within 72 hours. These complaints included 5 of 12 laundry grievances in June, 12 of 19 laundry grievances in July, 13 of 22 laundry grievances in (MONTH) (YEAR), and 10 of 22 laundry grievances in (MONTH) (YEAR). Two instances occurred in (MONTH) and (MONTH) (YEAR), where items were not located and reimbursement was offered. Interview with a family member on 10/4/17 at 11:04 AM revealed she was frustrated with the facility's laundry service. S/he revealed s/he ironed on identification labels which had been lost in the laundry. Interview on 10/4/17 at 10:55 AM with the social services staff revealed the facility's standard turn around time for clothing being laundered was 72 hours. She stated the facility has attempted to educate residents about the turn around time to lessen the amount of grievances. Further, she confirmed when residents were admitted to the facility, nurses use a standard Sharpie marker to mark resident's clothing. Interview on 10/4/17 at 11:27 AM with RN #2 revealed nurses marked all clothing and filled out an inventory sheet of personal items when residents were admitted . She stated nurses used a regular old sharpie to mark the clothing, unless it was dark clothing, in which case a label was affixed, after asking the resident or family it it was OK to be done. She stated most everybody just stops and lets you know if new clothing was brought into the facility. Interview on 10/4/17 at 1:29 PM with the administrator revealed the facility had provided education to residents regarding the facility policy of a 72 hour turn around time for laundry. She stated the facility called family to bring in more clothes when it was noticed a resident didn't have enough of a supply of clothing. She confirmed that the facility holds a shopping party every couple of months where the rack of unidentified clothing was brought to the resident floors to see if the clothing could be identified by staff, residents or family members. Review of policy and procedure for processing resident personal clothing showed All clothing for residents must be labeled in a manner that is both practical and respects the dignity of the resident,. A small, permanent tag or label with the resident's name, placed in an inconspicuous place on each article of clothing, is key. It further stated Follow-up is needed to ensure that any clothing brought in by families for holidays or birthdays is also labeled properly before going to the resident's unit. Additionally, assigned staff needs to remember to check for lost labels or faded writing on a regular basis.	2020-09-01