cms_ND: 31

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
31	THE MEADOWS ON UNIVERSITY	355024	1315 S UNIVERSITY DR	FARGO	ND	58103	2018-06-28	657	D	0	1	ROZG11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, review of facility policy and staff interview, the facility failed to review and revise comprehensive care plans to reflect the resident's current status for 2 of 18 sampled residents (Resident #2 and #71). Failure to review/revise the care plan to reflect each resident's current status limited the staff's ability to communicate needs and ensure continuity of care for the residents. Findings include: Review of the policy titled, Interdisciplinary Care Planning occurred on 06/27/18. This policy, updated (MONTH) (YEAR) stated, . The patient's care plan is a communication tool that guides members of the interdisciplinary healthcare team in how to meet each individual patient's needs. It also identifies the types and methods of care that the patient should receive . The care plan should include patient-specific measurable objectives . identifying risk versus benefits of the current interventions . incorporate the patient's personal and cultural preferences. - Review of Resident #2's record occurred on all days of the survey. The Quarterly Minimum Data Set (MDS), dated [DATE], identified Resident #2 as requiring the assistance of two staff for transfers and toileting, assistance of one staff for dressing and eating and only set up help with personal hygiene. The current care plan stated, . activities of daily living (ADL) self care deficit . Assist with daily hygiene, grooming, dressing, oral care and eating as needed. The certified nursing assistant (CNA) care card showed, . ADL assist-usually 2 person with minimum (min) level of assist . provide assistance with toileting. Observation on 06/26/18 at 9:00 a.m., showed a CNA (#14) assisted Resident #2 from her wheelchair (WC) to her bed using a gait belt and a pivot transfer. Observation on 06/27/18 at 8:08 a.m., showed an unidentified CNA transferred Resident #2 from the toilet to her WC with a gait belt and pivot transfer. During an interview on 06/28/18 at 11:15 a.m., an administrative nurse (#2) stated Resident #2's care plan does not reflect the current ADL needs of the resident. - Review of Resident #71's record occurred on all days of the survey. The admission MDS, dated [DATE], identified Resident #71 required assist of two with bed mobility, transfers and toileting. The current care plan stated, . ADL self care deficit as evidenced by assist of one to two to complete ADLs . Transfer with sit to stand mechanical lift (EZ stand) and 2 assist . Assist with daily hygiene, grooming, dressing, oral care and eating as needed. The CNA care card showed, . ADL assist-usually 2 persons with maximum (max) level of assist . transfer with sit to stand mechanical lift (EZ stand) and 2 assist. Observation on 06/26/18 at 9:24 a.m., showed a CNA (#9) assisted Resident #71 from her WC to her bed using a gait belt and a pivot transfer. During an interview on 06/28/18 at 10:50 a.m. , a CNA (#9) stated Resident #71, transfers with a gait belt and assistance of one. No she does not use the EZ stand lift. The current care plan's failed to accurately reflect the level of assistance Resident #2 and #71 required for assistance with ADL's.	2020-09-01