cms_ND: 34

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
34 THE MEADOWS ON UNIVERSITY 355024 1315 S UNIVERSITY DR FARGO ND 58103 2018-06-28 692 D 1 1 ROZG11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on facility policy review, record review, observation and staff interview, the facility failed to provide sufficient fluid intake to maintain proper hydration and health for 1 of 1 sampled resident (Resident #22) hospitalized for [REDACTED]. Failure to frequently offer fluids placed residents at risk for dehydration, UTI, and fluid/electrolyte imbalances. Findings include: Review of the facility's Hydration Practice Guide Flowchart, dated 2012, stated: Prompting patients to consume fluids and hydrate themselves is the single most effective approach in maintaining fluid balance . prompting to drink fluids is paired with toileting activities. Review of Resident # 22's medical record occurred on all days of survey. [DIAGNOSES REDACTED]. Current physician orders [REDACTED]. Current medications included [MEDICATION NAME] (diuretic) 20 milligram (mg) 1 tablet daily by mouth. The resident's care plan identified, . Risk for alteration in hydration related to diuretics, disease process/conditions, . times of pain, times of dry mouth, states he doesn't drink enough water, . dysphagia with thickened liquids at meals and thin liquids between meals per physician/mid-level order, . offer encourage and assist patient with fluids and between meals as needed. Observation on 06/26/18 at 9:45 a.m. showed two certified nursing assistants (CNAs) (#8 and #9) assisted Resident #22 with perineal cares, however, failed to offer fluids upon completion of cares. Observation on 06/27/18 at 11:39 a.m. showed two CNAs (8# and #7) assisted Resident #22 with perineal cares, however, failed to offer fluids upon completion of cares. During an interview on 06/28/18 at 4:00 p.m., an administrative nurse (#2) stated the staff are to offer fluids with cares and throughout the day. 2020-09-01