cms_MS: 32
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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| 32 |
LEXINGTON MANOR SENIOR CARE, LLC |
255091 |
56 ROCKPORT ROAD |
LEXINGTON |
MS |
39095 |
2017-06-28 |
314 |
D |
0 |
1 |
YQ7Y11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, staff interview and the facility policy review, the facility failed to prevent possible skin breakdown as evidenced by not applying heel protectors as ordered by the Physician for one (1) of nine (9) resident observations (Resident #4). Findings include: Review of the facility's Pressure injury Prevention policy, dated 04/2014, revealed: To prevent the formation of avoidable pressure injuries, interventions will be implemented in accordance with Physician orders. Review of the facility's Transcribing Physician order [REDACTED]. Review of the physician's orders [REDACTED]. On 06/26/17 at 1:50 PM, during an observation/interview of Resident #4, with Certified Nursing Assistant (CNA)#1 present, revealed Resident #4 laying supine in bed with bilateral heel protectors not in use. CNA #1 stated, They aren't in here, I should have gone to the laundry and got some. I put them on all the time, yes ma'am except today. On 06/26/17 at 3:20 PM, an interview with CNA #2 revealed, I did check his (Resident #4) heel protectors because they told me he didn't have them on, I don't know what time it was. He had them on then. On 06/26/17 at 2:10 PM, an interview with the Director of Nursing (DON) revealed, The orders should pull to the kiosk but the CNA's have a kardex (what the CNAs use as a care guide to care for the residents) they check everyday for changes. During an interview on 06/26/17 at 3:30 PM, the Administrator stated that the CNA's look at the kiosk, they only look at the kardex if there is a power failure. Everything for the care of the resident in on the kiosk and should be done. Review of the facility's face sheet revealed the facility admitted the resident on 9/24/13. Resident #4's [DIAGNOSES REDACTED]. Review of Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/09/17, revealed Resident #4 had a brief Interview of Mental status (BIMS) score of 6, indicating the resident had severely impaired cognition. The MDS revealed Resident #4 was totally dependent for bed mobility, and transfers to wheelchair. The resident was at risk for developing pressure ulcers and a Stage I present ulcer. The Care Area Assessment (CAA) for Resident #4 included a trigger for pressure ulcers. |
2020-09-01 |