cms_ND: 59

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
59	MINOT HEALTH AND REHAB, LLC	355031	600 S MAIN ST	MINOT	ND	58701	2019-06-11	695	D	1	0	HFFF11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on information provided by the complainants, observation, record review, review of professional reference, and staff interview, the facility failed to provide the necessary care and services for 2 of 3 residents (Resident #1 and #13) receiving oxygen. Failure to provide oxygen as ordered has the potential for residents to experience complications related to inadequate oxygen saturation levels. Findings include: Information provided by the complainants indicated nursing staff failed to ensure oxygen was administered per physician's order. Review of the facility policy titled Oxygen Administration occurred on 06/10/19. This policy, revised (MONTH) (YEAR), stated, . Validate physician orders for oxygen and set liter flow according to physician order. Berman and Synder, S., Kozier & Erb's Fundamentals of Nursing Concepts, Process, and Practice, 9th ed., Pearson Education, Inc., New Jersey, page 1397, stated, OXYGEN THERAPY . Like any medication, oxygen is not completely harmless to the client. Clients receive an inadequate amount or an excessive amount of oxygen and both can lead to a decline in the client's condition. An inadequate amount of oxygen ([MEDICAL CONDITION]) will lead to cell death, and if left untreated can ultimately lead to death. - Review of Residents #1's medical record occurred on all days of survey. A physician's order stated, . Oxygen at 2 L/M (liters per minute) to maintain O2 (oxygen) sats (saturations) >90%. Check each shift. Observation on 06/04/19 at 11:05 a.m., and 06/05/19 at 10:08 a.m., showed Resident #1 wearing a nasal cannula attached to an oxygen concentrator set at 1 liter per minute. The facility failed to consistently provide Resident #1 oxygen at the ordered concentration per nasal cannula. - Review of Resident #13's medical record occurred on all days of survey. [DIAGNOSES REDACTED]. A current physician's order stated, Oxygen at 2L (liters) to keep sats greater than 90% prn as needed . Review of Resident #13's oxygen sats since (MONTH) 2019 showed resident oxygen sat levels remained above 90% daily with oxygen applied. The current care plan stated, . Has/At risk for respiratory impairment related to: history of recurrent pneumonia . Oxygen per MD orders . All observations during survey showed Resident #13 with oxygen on continuously at 2L. During an interview on 06/06/19 at 10:00 a.m., an administrative nurse (#5) stated Resident #13's family requests oxygen on continuously and confirmed the facility should obtain a continuous oxygen order.	2020-09-01