cms_ND: 73

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
73	MINOT HEALTH AND REHAB, LLC	355031	600 S MAIN ST	MINOT	ND	58701	2018-08-16	578	D	0	1	B0I611	Based on record review, facility policy, and staff interview, the facility failed to ensure the medical record for 1 of 16 sampled residents (Resident #38) accurately reflected the resident's Advanced Directive regarding code status. Failure to ensure the resident's medical record accurately reflected her wishes may prevent emergency personnel from knowing the resident's choices in the event of a medical emergency. Findings include: Review of the facility policy titled Code Status occurred on 08/16/18. This undated policy, stated, . Every resident or responsible party signs a consent for full code or no code upon admission . Red sheet of paper with DNR (do not resuscitate)/No Code is placed in the front of the chart with consent choice sheet signed right behind it. Green sheet of paper with Full Code is placed in the front of the chart with the consent choice sheet signed right behind it. The full code or no code order is noted on physician orders. Review of Resident #38's medical record occurred all days of survey. A Living Will form signed and dated on 06/25/14 by Resident #38, indicated DNR status. A physician's order, dated 10/04/17, indicated Full Code status. A green sheet of paper for Full Code was placed in the front of Resident #38's medical record with a copy of the signed physician's order attached. During an interview on the morning of 08/16/18, an administrative staff member (#16) indicated nursing staff asks the resident on admission and/or readmission what he/she would like their code to be. The facility failed to ensure the code level status was consistent in all areas of the medical record and accurately reflected the residents' current wishes.	2020-09-01