cms_ND: 30

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
30	THE MEADOWS ON UNIVERSITY	355024	1315 S UNIVERSITY DR	FARGO	ND	58103	2018-06-28	644	D	0	1	ROZG11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of the North Dakota Provider Manual for Preadmission Screening and Resident Review (PASARR) and Level of Care Screening Procedures For Long Term Care Services, and staff interview, the facility failed to complete a status change assessment for 1 of 1 sampled resident (Resident #23) with a newly diagnosed mental illness since the facility completed the initial PASARR on admission. Failure to complete a change in status assessment may result in the delivery of care and services that are inconsistent with resident's needs. Findings include: The North Dakota PASARR Provider Manual page 13 states, . Change in Status Process . Whenever the following events occur, nursing facility staff must contact Ascend (name of contracted service provider for screening process) to update the Level I screen for determination of whether a first time or updated Level II evaluation must be performed. These situations suggest that a significant change in status has occurred: . If an individual with MI, ID, and/or RC (mental illness, intellectual disability, and conditions related to intellectual disability (referred to in regulatory language as related conditions or RC)) was not identified at the Level I screen process, and that condition later emerged or was discovered. Review of Resident #23's medical record occurred on all days of survey. The record showed an initial PASARR completed on 03/12/12 and identified dementia and no mental illness. The screening stated, . The Level I Screen conducted for the above named individual determined that there was not evidence to suggest presence or known conditions of mental illness . Resident #23's medical record identified [DIAGNOSES REDACTED]. The record lacked evidence the facility completed a Level II assessment following the new [DIAGNOSES REDACTED]. During an interview on 06/28/18 at 8:40 a.m., a supervisory social service staff member (#3) confirmed the facility failed to submit a PASARR for Resident #23 following the additional [DIAGNOSES REDACTED].	2020-09-01