cms_ND: 26

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.

Data source: Big Local News · About: big-local-datasette

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
26	THE MEADOWS ON UNIVERSITY	355024	1315 S UNIVERSITY DR	FARGO	ND	58103	2019-05-16	803	E	1	1	FA2L11	> Based on observation, resident interview, review of menu's, review of resident council minutes, group interview, and staff interview, the facility failed to ensure staff consistently followed dietary menus for all residents for 4 of 8 residents with food concerns (Resident #D, #G, #39 and #47). Failure to offer the residents all the menu items listed, does not allow for residents' personal food choices or follow nutritional guidelines for a balanced meal. Findings include: - During a confidential interview, on 05/13/19 at 3:31 p.m., Resident D reported the facility has run out of hotdogs five times since she/he moved into the facility. Resident D reports the facility has also run out of hamburgers and bananas. - Observation on 05/13/19 at 6:21 p.m., showed Resident #39 requested tomato juice from a certified nursing assistant (CNA). The CNA left the dining room and returned a short time later. She stated to Resident #39, We don't have tomato juice, do you want something else? and identified they were out. - Review of the Weekly Menu for (MONTH) 12-18, 2019 and Always Available Menu occurred on (MONTH) 14-16, 2019. The weekly menu showed one main entree, vegetable, fruit and/or dessert at each noon and evening meal. The Always Available Menu showed the following: hamburger or cheeseburger on a bun, hot dog on a bun, deli meat sandwich with cheese on white or wheat, grilled cheese sandwich on white or wheat, egg salad sandwich on white or wheat, chef salad, side salad, cottage cheese, yogurt, tomato soup, chicken noodle soup, vegetable beef soup, mashed potatoes and gravy. - Review of the Resident Council Meeting Minutes occurred on 05/14/19. The meeting minutes dated 04/24/19, stated, . Dietary: Compliments, comments, concerns: New menu changes going well, but don't always have everything on anytime menu per (name of resident) states there were no hamburgers one day . - During the resident council meeting, held the afternoon of 05/14/19, four of the nine residents stated the facility runs out of food items such as bananas, bacon, hamburgers, and/or other items from the always available menu. - During an interview on the afternoon of 05/14/19, Resident G stated last week he/she requested an egg salad sandwich and was told they didn't have one. - Observation on 05/16/19 at 7:53 a.m., showed Resident #47 ordering breakfast. An unidentified kitchen staff member offered scrambled eggs and bacon. Resident #47 stated, Bacon and two fried eggs. The staff member stopped the resident stating, We won't have that kind of egg until the food truck comes. Resident #47 then accepted scrambled eggs and bacon as part of the breakfast order. During an interview on 05/16/19 at 10:10 a.m., a dietary manager (#17) confirmed they had run out of food options from the always available menu on occasion and other food items for short duration.	2020-09-01