cms_MS: 22

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
22 WINSTON COUNTY NURSING HOME 255072 17560 EAST MAIN STREET LOUISVILLE MS 39339 2016-02-24 315 E 0 1 MMRK11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, facility policy review, and record review, the facility failed to provide proper incontinent care as evidenced by buttocks not being cleaned during incontinent care for two (2) of four (4) observations for incontinent care. (Resident #2 and Resident #8.) Findings Included: The facility policy titled Incontinent/Perineal Care, with a revision date of 3/2/15 and the purpose stated to cleanse the perineum and provide comfort. The policy stated, It is the policy of this facility that incontinent care will be provided at a minimum of every 2 hours and after episodes of incontinence. Care will include a thorough cleansing of the perineal area. Resident #2 At 9:55 AM on 2/23/16, an observation of incontinent care revealed CNA #2's failure to cleanse the Resident #2's buttocks before putting on a clean brief. During an interview on 2/23/16 at 2:15 PM, CNA #2 confirmed she forgot to clean Resident #2's buttocks. CNA #2 stated she usually turns resident onto his side and cleans his buttocks but failed to do so this time due to being nervous. CNA #2 stated she has been checked off on incontinent care and nurses have observed her perform incontinent care. The face sheet revealed the facility admitted Resident #2 on 6/29/11 and 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, for Resident #2, revealed a Brief Interview of Mental Status (BIMS) score of nine (9), which indicated moderately impaired cognition. Resident #8 On 2/23/16 at 9:35 AM, while performing incontinent care, Certified Nursing Assistant (CNA) #1 failed to cleanse Resident #8's buttocks. At 2:00 PM on 2/23/16 an interview with CNA #1 revealed she knew she had failed to cleanse Resident #8's buttocks. She stated she had attended inservices and had been checked off. At 2:20 PM on 2/23/16, an interview with the Director of Nursing (DON) revealed, the facility provides inservice and checks related to incontinent care to all CNAs. She stated, if they did not turn the residents on their side and clean their buttocks, they did not do what they were taught. Review of facility inservice titled, Peri Care, dated 11/9/15, revealed CNA #1 and CNA #2 were in attendance. The face sheet revealed the facility admitted Resident #8 on 12/23/14 with [DIAGNOSES REDACTED]. Review of the Quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 1/1/16, revealed resident #8 had a Brief Interview of Mental Status (BIMS) score of four (4), which indicated the resident had severely impaired cognition. 2020-09-01