cms_ND: 95
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 95 | MINOT HEALTH AND REHAB, LLC | 355031 | 600 S MAIN ST | MINOT | ND | 58701 | 2019-10-21 | 641 | B | 0 | 1 | 6YYS11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** THIS IS A REPEAT DEFICIENCY FROM THE SURVEY COMPLETED ON 8/16/18. Based on record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.16), and staff interview, the facility failed to ensure the Minimum Data Set (MDS) reflected residents' status for 1 of 18 sampled residents (Resident #9) and 1 closed record (Resident #65). Failure to accurately complete Section A (Identification Information) does not allow each resident's assessment to reflect their current status/needs and may result in the development of an inaccurate care plan. Findings include: The Long-Term Care Facility RAI Manual, revised (MONTH) (YEAR), Section A: Identification Information, stated the following: * pages A-18 to A-20, A1500: Preadmission Screening and Resident Review (PASRR) . All individuals who are admitted to a Medicaid certified nursing facility, regardless of the individual's payment source, must have a Level I PASRR completed to screen for possible mental illness (MI), intellectual disability (ID) . /developmental disability (DD), or related conditions . Individuals who have or are suspected to have MI or ID/DD or related conditions may not be admitted to a Medicaid-certified nursing facility unless approved through Level II PASRR determination. Coding Instructions: . Code 1, yes: if PASRR Level II screening determined that the resident has a serious mental illness and/or ID/DD or related condition, and continue to A1510, Level II Preadmission Screening and Resident Review (PASRR) Conditions. * page A-29, . A2100: Discharge Status . Code 02, another nursing home or swing bed: if discharge location is an institution (or a distinct part of an institution) that is primarily engaged in providing skilled nursing care and related services for residents who require medical or nursing care or rehabilitation service for injured, disabled, or sick persons. - Review of Resident #9's medical record occurred on (MONTH) 15-17, 2019. A Level 1 PASRR, dated 02/11/16, included Ascends' (contracted service provider for screening process) outcome, Level II is required. Positive Level I. The PASRR Summary of Findings (Level II), dated 02/27/16, stated, (Name of resident) meets PASRR Mental Illness inclusion criteria with the primary [DIAGNOSES REDACTED]. The findings included recommendations for supportive care in the nursing facility. Resident #9's annual MDS, dated [DATE], identified [DIAGNOSES REDACTED]. as 0. No. The facility coded A1500 no on all Resident #9's comprehensive assessments since the admission MDS, dated [DATE]. During an interview on 10/17/19 at 12:35 p.m., an administrative nurse (#1) agreed staff should have coded A1500 yes per the MDS coding directions. - Review of Resident #65's medical record occurred on 10/17/19. The discharge assessment - return not anticipated MDS, dated [DATE], identified the resident was discharged to an acute hospital; however, the resident's medical record showed Resident #65 was discharged to another skilled facility. During an interview on 10/17/19 at 3:24 p.m., an administrative nurse (#5) agreed she coded the MDS incorrectly. | 2020-09-01 |