cms_WY: 32

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
32 GRANITE REHABILITATION AND WELLNESS 535013 3128 BOXELDER DRIVE CHEYENNE WY 82001 2018-10-12 578 D 0 1 P2JJ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and staff interview, the facility failed to ensure the medical record accurately reflected resident advance directive preferences for 2 of 7 sample residents (#2, #16) reviewed for advance directives. The findings were: 1. Review of the WyoPOLST (Providers Orders for Life Sustaining Treatment) dated [DATE] showed resident #2 elected a do not attempt resuscitation (DNR) with selective treatment designation. Review of the nurses 24 hour staff report sheet showed the resident had a code status of DNR. Review of the resident care plan dated [DATE] showed the code status as cardiopulmonary resuscitation (CPR) requested. 2. Review of the WyoPOLST dated [DATE] showed resident #16 elected a DNR status with full treatment. Review of the nurses 24 hour staff report showed only DNR. Review of resident care plan dated [DATE] showed the code status was full code. 3. Interview with CNA #2 on [DATE] at 11:12 AM revealed that, regardless of resident code status, she would call for help if a resident was unresponsive and begin CPR. 4. Interview with RN #1 on [DATE] at 10:03 AM stated he would go to the resident medical record and check the POLST to determine the resident's code status as the nurses 24 hour report sheet did not accurately identify resident code status. 5. Interview with the DON on [DATE] at 10:25 AM stated the facility would expect staff to follow the resident's POLST election at all times. 2020-09-01