cms_WY: 99

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
99 BONNIE BLUEJACKET MEMORIAL NURSING HOME 535019 388 SOUTH US HWY 20 BASIN WY 82410 2017-04-06 514 F 0 1 508H11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and staff interview, the facility failed to ensure a complete, systematically organized electronic health record for each resident was accessible. The census was 25. The findings were: 1. Interview with the administrator during the entrance conference on 4/3/17 revealed that the facility was using an electronic health record (EHR) system for the resident records. The following concerns were identified: a. During the survey, the surveyors identified issues trying to access and review the residents' medical records. The surveyors were involuntarily logged out of the system on multiple occasions and had to ask staff for copies of the residents' medical record or parts of the records in order to complete the survey. b. Review of individual resident records showed that all residents had an admission date of [DATE]. Further, all physicians orders had a start date of 4/1/17. c. Interview with LPN #1 on 4/4/17 at 3:50 PM revealed she had to fight with the computer system because it would freeze and log out. d. Interview with the DON on 4/4/17 at 4:20 PM revealed all residents showed an admitted the first day of the current month because the computer system rolls over every month related to computer memory issues. Further, she revealed in order to identify the correct admission and physician order [REDACTED]. e. Interview with the administrator on 4/5/17 at 1:41 PM revealed the computer system is not the best and it frequently kicks you out. Further, it was revealed the facility had identified the concern and was working with some companies to change the system; however, there was not a date the system would be changed. 2020-09-01