cms_ND: 99
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
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facility_name
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facility_id
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address
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city
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state
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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| 99 |
MINOT HEALTH AND REHAB, LLC |
355031 |
600 S MAIN ST |
MINOT |
ND |
58701 |
2019-10-21 |
692 |
D |
0 |
1 |
6YYS11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy and record review, the facility failed to adequately assess the nutritional needs to restore/maintain adequate nutritional status for 1 of 3 sampled residents (Resident #61) who received a tube feeding. Failure to meet residents' nutritional needs through diet (tube-feeding), supplements, or other interventions contributed to the resident's weight loss. Findings include: Review of the facility policy titled WEIGHT PROGRAM occurred on 10/17/19. This policy, dated (MONTH) (YEAR), stated, . Request reweighs on residents with weight change of 3 pounds or greater . Residents who are tube fed via an electric or battery powered pump should maintain a stable weight. If the resident losses 3 lbs (pounds) or greater OR gains 3 lbs or greater, the dietitian (RD) and nurse should complete a comprehensive assessment on the resident and the doctor needs to be notified as soon as possible . Review of Resident #61's medical record occurred on all days of survey. The current physician orders, dated 09/24/19, stated, . [MEDICATION NAME] 1.5 Cal (tube-feeding). Run over 15 hours at 78 ml (milliliters)/hour start at 1700 (5:00 p.m.) and end when total volume 1170 ml infused . A nutrition risk assessment, dated 09/24/19, identified the following . wasting noted in face, decrease fat and muscle mass noted. Current diet order NPO (nothing by mouth). Current feeding [MEDICATION NAME] HN (high calorie tube feeding) . does not meet estimated need . Risk for Malnutrition: low with tube feeding support . Nutritional Goal Summary: wt 180-190# (pounds) . The current care plan stated, Nutritional status I have abeen (sic) losing wt (weight) gradually. Refuses to be weighed swallowing problems I receive nutrition and hydration via tube feeding Increased need for healing . Review of Resident #61's weights identified the following: * 09/23/19 - 182.0 lbs * 10/01/19 - 175.6 lbs (failed to re-weigh and notify RD) * 10/07/19 - 176.8 lbs * 10/15/19 - 173.4 lbs (failed to re-weigh and notify RD) The weights identified a 4.8% weight loss in less than one month while receiving a tube-feeding. The facility failed to follow their policy regarding re-weighs, complete a comprehensive assessment, and notify the doctor as soon as possible. Failure to promptly re-evaluate Resident #61's nutritional status and adjust the tube feeding as needed resulted in continued weight loss. |
2020-09-01 |