cms_MS: 47

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
47 BOYINGTON HEALTH AND REHABILITATION 255092 1530 BROAD AVE GULFPORT MS 39501 2017-01-13 322 D 0 1 QXQE11 **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 check the placement of Resident #18's Percutaneous Endoscopic Gastrostomy (PEG) tube by auscultation with air prior to medication administration. This was for one (1) of two (2) PEG tubes observed during the med (medication) pass. Findings include: Review of the facility's policy titled, Administering Medications Through An Enteral Tube, dated (MONTH) (YEAR), revealed the purpose of this procedure is to provide guidelines for the safe administration of medications through an Enteral tube. This policy revealed to check placement of the Nasogastric, Esophagostomy, or Gastrostomy Tube, auscultate the abdomen (approximately three inches (3) below the sternum) while injecting ten (10) milliliters (ml) of air into the tube, and listen for the whooshing sound in the stomach then gently pull back and aspirate stomach contents. During an observation of medication administration on 1/13/17 at 11:12 AM, Licensed Practical Nurse (LPN) #5 prepared to administer [MEDICATION NAME] 20 milligrams (mgs) and [MEDICATION NAME] 10 mg. via Resident #18's PEG tube. LPN #5 proceeded to check the PEG tube placement, and pushed 10 millimeters (ml)s of water instead of air into the PEG tube. LPN #5 checked the placement by auscultation with a stethoscope she placed below the Xyphoid Process (lower part of the sternum). An interview with LPN #5 on 1/13/17 at 11:30 AM, revealed LPN #5 stated, I was nervous, and she confirmed she used water instead of air to check placement of the PEG tube for Resident #18. Review of Resident #18's Order Summary Report physician's orders [REDACTED]. 2) [MEDICATION NAME] 20 mg. via [DEVICE] four times a day for muscle spasms. 3) [MEDICATION NAME] HCL Solution ([MEDICATION NAME]) 10 mg./10 ml (milliliter) give four times a day r/t (related to) Gastro-Esopheal Reflux Disease (GERD) without Esophagitis. Record review of the Face Sheet revealed the facility admitted Resident #18 on 4/3/12 with the included [DIAGNOSES REDACTED]. Review of Resident #18's Quarterly Minimum Data Set (MDS) with the Assessment Reference Date (ARD) of (MONTH) 17, (YEAR), revealed the Brief Interview for Mental Status (BIMS) score was not completed due to the resident was not able to complete the interview. Resident #18's Cognitive Skills for Daily Decision Making was coded a three (3), which indicated severe impairment, and rarely or never made decisions. Further review of the MDS revealed Resident #18 had feeding tube while a resident at the facility. Resident #18 received a proportion of her total calories of 51% (percent) or more through parentaral or tube feedings, and an average of 501 cc (cubic-centimeters) or more of fluid per day by IV (intravenous) or tube feeding. Resident #18 required extensive to total assistance with one to two (1 to 2) person physical assist with bed mobility, transfers, dressing, toilet use, and bathing. 2020-09-01