cms_ND: 97

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
97	MINOT HEALTH AND REHAB, LLC	355031	600 S MAIN ST	MINOT	ND	58701	2019-10-21	658	D	0	1	6YYS11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THIS IS A REPEAT DEFICIENCY FROM THE SURVEY COMPLETED ON 08/16/18. Based on observation, record review, professional reference, and staff interview, the facility failed to follow professional standards of practice regarding compliance with physician's orders [REDACTED].#12 and #36). Failure to follow physicians's orders for a dressing change (Resident #12) and notification of elevated blood sugars (Resident #36) may result in adverse health effects. Findings include: Kozier & Erb's Fundamentals of Nursing, Concepts, Process and Practice, 10th Edition, (YEAR), Pearson, Boston, Massachusetts, page 68, stated, Nurses are expected to analyze procedures and medications ordered by the physician. It is the nurse's responsibility to seek clarification . the nurse is responsible for carrying it out. - Observation on 10/15/19 at 5:41 p.m. showed Resident #12 had a [MEDICATION NAME] dressing to his right hand. Review of Resident #12's medical record occurred on all days of survey. A nursing progress note, dated 10/05/2019 at 10:44 a.m., stated, CNA (certified nursing assistant) reported resident bumped his right hand to the corner of the heater box in his room. Resident was noted to have a self inflicted injury on his right hand, sustained a skin tear (inverted L shape) measuring 3.4 cms (centimeters) x (by) 3.0 cms. Resident was so resistantduring (sic) the cleaning of the affected area so it was not well approximated. This nurse cleaned it with NS (normal saline), covered with paper tape to keep the skin together, covered with non adherent dressing, then a foam dressing to hold the non adherent dressing and wrapped with Kirlix (sic). A MD (medical doctor)/Nursing Communication sheet faxed to the MD, dated 10/05/19, stated the above information and Would you like to continue same dressing. Please advise., to which the MD responded continue (with) above dressing. Review of Resident #12's treatment record occurred on 10/16/19 and failed to identify an order for [REDACTED]. During an interview on the morning of 10/16/19, an administrative nurse (#1) stated staff failed to carry over the dressing change treatment to the treatment record. - Review of Resident #36's medical record occurred on all days of survey. A physician's orders [REDACTED]. Review of Resident #36's blood glucose levels for (MONTH) 1-16, 2019 showed the resident's fasting blood glucose greater than 140 on eight occasions and post prandial glucose level greater than 180 on eight occasions. The facility failed to notify the physician of the elevated glucose levels as ordered. During an interview on 10/17/19 at 1:54 p.m., an administrative staff member (#3) confirmed the staff failed to notify the physician as ordered.	2020-09-01