cms_ND: 35

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
35 THE MEADOWS ON UNIVERSITY 355024 1315 S UNIVERSITY DR FARGO ND 58103 2018-06-28 698 D 0 1 ROZG11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, review of facility policy and procedure, resident interview, and staff interview, the facility failed to ensure residents received the care and services consistent with professional standards of practice for 1 of 2 sampled residents (Resident #63) receiving [MEDICAL TREATMENT] outside the facility. Failure to assess the [MEDICAL TREATMENT] vascular access site (central venous catheter) can result in complications with access function, infection, and possible loss of the access site. Findings include: Review of the facility policy/procedure titled [MEDICAL TREATMENT] Guidelines occurred on 06/28/18. This policy, dated (MONTH) (YEAR), stated, . Guidelines: . A coordinated comprehensive care plan for [MEDICAL TREATMENT] treatments is developed with input from both the interdisciplinary team (IDT) and [MEDICAL TREATMENT] facility staff. Both the center and the [MEDICAL TREATMENT] facility are responsible for shared communication regarding patients receiving [MEDICAL TREATMENT] served, either onsite or offsite. Collaborative communication includes information regarding: . [MEDICAL TREATMENT] adverse reactions/complications and/or recommendations for follow up observations and monitoring including those related to the vascular access site . During an interview on 06/25/18 at 4:04 p.m., Resident #63 stated he/she has a [MEDICAL TREATMENT] catheter (a tube placed in a large central vein in the chest) and a fistula (an artery and a vein connected together under the skin to provide access to the blood) in his/her arm for [MEDICAL TREATMENT]. Observation showed a central venous catheter (CVC) with a dressing on Resident #63's upper right chest and a dressing over his/her left arm fistula. Review of Resident #63's medical record occurred on all days of survey. Resident #63's medical conditions are such that he/she requires treatment for [REDACTED].#63's current care plan failed to identify his/her central venous catheter, or the risks/complications, or care of the catheter. During an interview on the afternoon of 06/27/18, a supervisory nurse (#6) stated the nurses would assess the catheter during the weekly skin assessments. Review of the nursing progress notes and skin assessments failed to show evidence nursing staff monitored Resident #63's central venous catheter site. 2020-09-01