cms_WY: 55

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
55 SUBLETTE CENTER 535017 333 N BRIDGER AVE PINEDALE WY 82941 2018-02-15 641 D 0 1 3QMW11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, resident and staff interview, medical record review, review of facility policy, and review of the CMS Resident Assessment Instrument (RAI) version 3.0 manual, the facility failed to ensure MDS assessments were accurately completed for 1 of 12 sample residents (#133). The findings were: 1. Medical record review showed resident #133 was admitted from the hospital on [DATE] with [DIAGNOSES REDACTED]. Interview with the resident on 2/13/18 at 10:25 AM revealed s/he developed a pressure ulcer on his/her buttock while in the hospital. Observation on 2/14/18 at 1:35 PM showed resident had a 1.1 cm area of healing skin on the coccyx covered with a dressing dated 2/12/18. Review of the nursing admission evaluation and interim care plan showed a diagram of the human body with the coccyx area circled and 1 cm black escar (sic) documented. Review of a nurse's note dated 1/30/18 at 5:30 PM showed, Resident also has 1 cm escar (sic) to coccyx. Allevyn dressing applied for protection. Review of a nurse's note dated 2/12/18 at 8:30 PM showed, Resident has a sore at top of butt crack that (s/he) reports (s/he) got while in the hospital. This RN placed Alevyn on site. The following concerns were identified: a. Interview on 2/14/18 at 3 PM with the MDS coordinator confirmed she considered the wound a pressure ulcer. b. Review of the admission MDS assessment revealed Section M Skin Conditions lacked documentation related to the pressure ulcer. The MDS was signed as completed on 2/8/18. Interview with MDS coordinator on 2/15/19 at 8:45 AM revealed the MDS was complete. c. Review of the facility policy titled Pressure Ulcer Prevention with a revision date of 12/17 stated, Nursing staff upon admission is to . identify the presence of pressure ulcers. d. Review of the RAI 3.0 User's Manual dated (MONTH) (YEAR) showed under Section M .Steps for Assessments .1. Review the medical record .including skin care flow sheets, and nurses' notes. 2. Speak with the treatment nurse and direct care staff on all shifts to confirm conclusions from the medical record review and observations of the resident . Continued review showed .Pressure ulcers that eschar (tan, black or brown) tissue present such that the anatomic depth of soft tissue damage cannot be visualized .should be classified as unstageable . Further review showed .For each pressure ulcer, determine if the pressure ulcer was present at the time of admission .and not acquired while the resident was in the care of the nursing home . 2020-09-01