cms_WY: 56

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
56 SUBLETTE CENTER 535017 333 N BRIDGER AVE PINEDALE WY 82941 2018-02-15 686 D 0 1 3QMW11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, resident and staff interview, medical record review and policy review, the facility failed to provide necessary services and treatment to promote healing of a pressure ulcer for 1 of 1 sample resident (#133) with a pressure ulcer. 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 had developed a pressure ulcer on his/her buttock while in the hospital. Further interview revealed the facility staff placed a dressing on it. Observation on 2/14/18 at 1:35 PM showed the 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 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 and timed 5:30 PM showed resident also has 1 cm escar (sic) to coccyx. Alevyn dressing applied for protection. Review of a nurse's note dated 2/12/18 and timed 8:30 PM showed resident has a sore at top of butt crack that (s/he) reports (s/he) got while in hospital. This RN placed Alevyn on site. Interview on 2/14/18 at 3 PM with the MDS coordinator confirmed she considered the wound a pressure ulcer. The following concerns were identified: a. There lacked evidence the physician was notified of the pressure ulcer. Review of the medical record showed no physician's orders or documentation related to the pressure ulcer. Interview on 2/14/18 at 3:00 PM with the MDS coordinator revealed the chart lacked physician documentation and orders related to the pressure ulcer. b. Medical record review on 2/14/18 failed to show consistent nursing documentation related to the wound or wound treatment. c. Review of the facility policy titled Pressure Ulcer Prevention, last revised 12/17 showed Nursing staff upon admission .is to identify the presence of pressure ulcers .Nursing staff will then develop and implement a comprehensive care plan that reflects each resident's needs the nurse should monitor the impact of the interventions . the pressure ulcer must be reassessed at least weekly and the healing progress documented . 2020-09-01