cms_MS: 92

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.

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
92 THE PILLARS OF BILOXI 255093 2279 ATKINSON ROAD BILOXI MS 39531 2019-05-15 676 D 0 1 0E0S11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on staff interview, observation, and record review the facility failed to provide a means to communicate for one (1) of two (2) sampled residents reviewed for communication deficits. Specifically, Resident #41's primary language was not English. There was no interpreter in the facility who could translate, and the facility had not arranged for devices and/or services to communicate with the resident in a manner that the resident could understand. Findings Include: A communication policy was requested from the facility during the survey. The Registered Nurse Consultant (RNC) provided a written, signed statement, dated 5/15/19, that confirmed the facility does not have a policy related to interpreter phone usage. Review of Resident #41's quarterly Minimum Data Set (MDS), dated [DATE], revealed: Does the resident need or want an interpreter to communicate with a doctor or health care staff? Answer-No. There is no preferred language listed for Resident #41, but the resident speaks Vietnamese only. Review of the care plan with a revision date of 5/26/2017, read: Focus: I have a communication problem r/t (related to) speaks limited English/primary language Vietnamese. Goal: I will be able to make basic needs known through the review date revised on 03/27/2019. Intervention: COMMUNICATION: Resident prefers to communicate in Vietnamese. On 5/12/19 at 11:48 AM, an interview with Registered Nurse (RN) #4 was conducted. RN #4 stated Resident #41 speaks Vietnamese and does not speak English. RN #4 stated staff communicate with Resident #41 speaking in English and using hand gestures, and Resident #41 appeared to understand some English, but responds only in Vietnamese. RN #4 also stated no other type of communication (communication board, interrupter, language phone line) is used to communicate with Resident #41. RN #4 said there were no communication boards available in the facility for residents with communication concerns to use. On 5/12/19 at 2:45 PM, an interview with Life Connection Assistant (LCA) #2 was conducted. LCA #2 stated Resident #41 does participate in some activities such as ball toss, connect 4, and movies, but the visits are limited due to the language barrier. On 5/12/19 at 4:02 PM an interview with Licensed Practical Nurse (LPN) #2 was conducted. LPN #2 stated there is a communication barrier with Resident #41. The LPN states they use simple questions and the resident responses appear reliable and relevant to questioning. LPN #2 stated there is no communication board, language phone line, or interpreter available to communicate with Resident #41. On 5/14/19 at 3:06 PM, an interview with LCA #1 was conducted. LCA #1 stated he uses hand gestures to communicate with Resident #41. Resident #41 appears to understand some English but does not speak English. Resident #41's responses appear appropriate to questioning. LCA #1 stated he attempted to use his phone to translate at times. LCA #1 stated no staff speak Vietnamese and no language line is available for use. On 5/14/19 at 3:45 PM, an interview with the Social Service Director (SSD) was conducted. The SSD stated there are no staff who speak Vietnamese and Resident #41 has no family or friends involved in his care. The SSD stated Resident #41 can read written questions and respond appropriately. The SSD also stated there in no language phone line available for use. On 5/14/19 at 4:07 PM, an interview with the Minimum Data Set (MDS) Care Plan Coordinator (CPC) was conducted. The MDS CPC stated Resident #41 speaks very little English and there are no staff who speak Vietnamese. The MDS CPC stated there is a language phone line available for use in the facility. On 5/14/19 at 4:07 PM, an interview with the MDS Consultant (MDSC) was conducted. The MDSC stated there is a language phone line available for use in the facility. On 5/15/19 at 4:10 PM, an interview with the RNC was conducted. The RNC stated there is a language phone line available for use in the facility, but there is no formal training provided to staff for the use of the language/interpretive phone line. Observation on 5/12/19 at 12:15 PM, of Resident #41 in is room, revealed he was seated on the bed responding to RN #4's questioning. Resident #41 responded to questions by shaking his head. 2020-09-01