cms_MS: 19

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.

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
19 WINSTON COUNTY NURSING HOME 255072 17560 EAST MAIN STREET LOUISVILLE MS 39339 2016-02-24 278 D 0 1 MMRK11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, staff interview, and facility policy review, the facility failed to ensure an accurate comprehensive assessment related to coding of a restraint for one (1) of three (3) resident's Minimum Data Set's (MDS) reviewed for restraint use. Resident #11 Findings Include: Facility policy titled MDS Scheduling And Care Plan Updates, with revision date of 8/27/14 revealed: each discipline performs assessment related to their specific sections and address care area assessment (CAA) and related care planning for resident being assessed and changes are discussed with interdisciplinary team to determine if significant change of status has occurred and need of additional assessment with care plan review is required. At 10:40 AM on 2/24/16, an observation of Resident #11 revealed, resident in her room, sitting in her wheelchair with the self release seat belt across Resident #11's waist and attached to the wheelchair. Licensed Practical Nurse (LPN) #1 asked Resident #11 to release self release seat belt. Resident #11 stated I rarely ever am able to release it. Resident #11 attempted to release belt without success. LPN #1 instructed resident to unhook the self release seat belt. Resident #11 stated, NO. Resident #11 pushed in and pulled on belt and buckle without success. Resident #11 stated, I can't do it, I'll give it to you, you do it. LPN #1 instructed resident to push red release button. Resident #11 attempted to push red button on belt buckle but was unable to push in enough to release. Resident #11 attempted for four (4) minutes without success. LPN #1 stated, She's not going to be able to today. She's having a bad day. Review of Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 1/31/16 for Resident #11, revealed, in section P - Restraints, no restraints were coded. At 11:15 AM on 2/24/16 an interview with MDS Coordinator revealed that she did not see anything in the nurse's notes to indicate Resident #11 was able to remove self release seat belt. MDS Coordinator stated for it not to be coded as a restraint there would have to be documentation to support her ability to release the seat belt. At 11:30 AM on 2/24/16 an interview with Director of Nursing (DON) revealed, if she can't release it by herself then it should be coded as a restraint. The DON confirmed the MDS was not accurately coded for the restraint. The facility admitted Resident #11 on 5/19/15 with [DIAGNOSES REDACTED]. A review of the Quarterly MDS with an ARD of 1/31/16 revealed a Brief Interview for Mental Status (BIMS) score of one (1), which indicated Resident #11 had severely impaired cognition. 2020-09-01