cms_MS: 21
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 21 |
WINSTON COUNTY NURSING HOME |
255072 |
17560 EAST MAIN STREET |
LOUISVILLE |
MS |
39339 |
2016-02-24 |
282 |
D |
0 |
1 |
MMRK11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, record review and facility policy review, the facility failed to follow the comprehensive care plan for incontinent care for two (2) of 14 resident care plans reviewed. (Resident #2 and #8). Findings Include: Review of the facility's policy titled Care Plan, dated 10/14, revealed the purpose was to direct care from admission to discharge. Resident #2 At 9:55 AM on 2/23/16, observation revealed Certified Nursing Assistant (CNA) #2 performing incontinent care on Resident #2. CNA #2 performed incontinent care on Resident #2's perineal area, but failed to turn the resident to his side to clean his buttocks before placing his clean brief. A review of Resident #2's comprehensive care plan titled, Bowel and Bladder Deficit, with a 1/18/16 revision date, revealed a goal that the resident was to be kept clean, dry and odor free. Interventions included to check resident every 2 hours to assure needs are being met. During an interview on 2/23/16 at 2:15 PM, CNA # 2 confirmed she failed to clean Resident # 2's buttocks while performing incontinent care. The facility admitted Resident #2 on 6/29/11, readmitted on [DATE] with [DIAGNOSES REDACTED]. A review of the Significant Change Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 1/14/16, revealed a Brief Interview of Mental Status (BIMS) score of nine (9), which indicated that Resident #2 had moderately impaired cognition. Resident #8 At 9:35 AM on 2/23/16, an observation revealed CNA #1 performing incontinent care on Resident #8. CNA #1 cleaned Resident #8's perineal area, but failed to clean his buttocks before putting a clean brief on the resident. A review of Resident #8's comprehensive care plan titled Bowel and Bladder Deficit, with a 1/6/16 revision date, revealed a goal that stated the resident was to be kept clean, dry and odor free. Interventions included to check resident every 2 hours to assure needs are being met. At 2:00 PM on 2/23/16, an interview with CNA #1 revealed that she realized she had skipped cleaning Resident #8's buttocks and stated she knew what she should have done. At 2:20 PM on 2/23/16 an interview with Director of Nursing (DON) revealed that if the CNAs did not turn the residents on their side and clean their bottom, they did not follow the care plan. The face sheet revealed the facility admitted Resident #8 on 12/23/14 with [DIAGNOSES REDACTED]. A review of the Quarterly MDS, with an ARD of 1/1/16, revealed a BIMS score of four (4), which indicated that Resident #8 is severely impaired, cognitively. |
2020-09-01 |