cms_ND: 65

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.

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
65 MINOT HEALTH AND REHAB, LLC 355031 600 S MAIN ST MINOT ND 58701 2017-07-26 274 D 0 1 GH6U11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, and staff interview, the facility failed to complete a significant change in status assessment (SCSA) for 1 of 13 sampled residents (Resident #3) reviewed. Failure to determine the need for and complete a SCSA in response to the resident's decline limited the facility's ability to accurately assess the resident's status, and identity and implement appropriate care approaches. Findings include: The Long-Term Care Facility RAI 3.0 User's Manual (Version 1.14), dated (MONTH) (YEAR), page 2-22 stated, . A significant change is a decline or improvement in a resident's status that: 1. Will not normally resolve itself without staff intervention . 2. Impacts more than one area of the resident's health status; and 3. Requires interdisciplinary review and/or revision of the care plan. and page 2-25 stated, A SCSA is appropriate if there are either two or more areas of decline or two or more areas of improvement. Review of Resident #3's medical record occurred on all days of survey. The quarterly Minimum Data Set (MDS), dated [DATE], identified: * walking in room did not occur * extensive assistance with locomotion on the unit * extensive assistance with locomotion off the unit * frequently incontinent of bowel * one unstageable pressure ulcer The admission MDS, dated [DATE], identified the following changes: * limited assistance with walking in room * supervision with locomotion on the unit * supervision with locomotion off the unit * occasionally incontinent of bowel * no pressure ulcers The facility failed to complete a SCSA following Resident #3's decline in four areas, plus the development of a pressure ulcer. 2020-09-01