cms_WY: 90

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
90	BONNIE BLUEJACKET MEMORIAL NURSING HOME	535019	388 SOUTH US HWY 20	BASIN	WY	82410	2017-04-06	221	D	0	1	508H11	Based on observation, medical record review, staff interview, and policy and procedure review, the facility failed to ensure 1 of 25 sample residents (#24) was free from unnecessary physical restraints. The findings were: 1. Observation on 4/6/17 at 8:50 AM showed resident #24 was sitting in a recliner in the main lobby area with his feet elevated on the foot rest. A trash can was placed under the foot rest. The following concerns were identified: a. Review of the resident's history and physical dated 11/7/16 showed the resident had a left upper extremity amputation. b. Review of the resident's care plan showed that s/he had a care plan for ADLs with a goal to achieve maximum functional mobility. The fall/safety approaches included mobility alarm. There was no evidence a restraint assessment was performed related to the placement of the trash can under the recliner foot rest. 2. Interview on 4/6/17 at 8:54 AM with CNA #3 revealed the trash can was put under resident's recliner foot rest to prevent him/her from lowering his/her legs. 3. Interview with the DON on 4/6/17 at 9:20 AM revealed there was not a safety evaluation for placement of the trash can under the recliner while the resident's legs were elevated. Further, she revealed staff were not to place the trash can under the recliner because it prevented the resident from moving. 4. Review of facility policy and procedure on restraints with an issue date of 8/13/14 showed the purpose as, .to identify the need for a physical restraint and to ensure the safety of the resident .The DON or designee will complete the physical restraint consent form to determine if appropriate and safe.	2020-09-01