cms_SD: 1

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
1 PRAIRIE HEIGHTS HEALTHCARE 435004 400 8TH AVENUE NW ABERDEEN SD 57401 2018-03-29 565 E 0 1 XF2S11 Based on observation and interview the provider failed to ensure: *Meals were served on time for two of two observed meals in the main dining room. *Residents were aware of alternative meal options in one of two dining rooms (main dining room). Findings include: 1. Interview on 3/26/18 at 4:45 p.m. with the administrator revealed the meal times were: *In the rehabilitation (rehab) dining room breakfast was served at 7:30 a.m., lunch at 11:30 a.m., and supper at 5:30 p.m. *In the main dining room breakfast was served at 8:00 a.m., lunch at 12:00 noon, and supper at 6:00 p.m. Surveyor Observation on 3/26/18 from 5:54 p.m. through 6:30 p.m. in the main dining room revealed: *At 6:11 p.m. the serving window was closed. -No meals had been served yet. *At 6:15 p.m. the serving window opened, and the first tray was served. -An unidentified resident refused the tray and asked for soup. --She kept the bread and fruit. -Three out of four of the residents at the same table refused their tray and only took the fruit. Observation and interview on 3/27/18 from 6:13 p.m. through 6:20 p.m. in the main dining room revealed: *At 6:13 p.m. the serving window was opened. -The kitchen had not started serving. *Interview at 6:15 p.m. with licensed practical nurse D regarding resident choices for meals revealed: -They did not ask the residents prior to the meal as to what they would like to eat. -He stated We tried that once and it didn't work. -He said A resident would order fish for supper and then once supper came they would be like I don't want fish, and the server would say Yes you ordered this at breakfast today, and the resident would be like, No I don't want it, I want something else. -He thought it worked better now. --They just took the tray with the main menu meal option and if they did not want it they offered the alternative. *At 6:19 p.m. the serving window opened. *At 6:20 p.m. the first tray was served. Interview with a resident representative revealed: *Supper is routinely not served until 6:20 p.m. or 6:30 p.m. -Supper time was 6:00 p.m. *The resident would request to go back to her room before she received her meal. -He waits till 6:20 p.m. or 6:30 p.m. to take her to supper in hopes they have started serving supper. Surveyor Confidential interview on 3/28/18 at 9:30 a.m. with a group of residents revealed: *They had not gotten choices for meals. *They would be served the main meal option, and if they had not wanted it they would be told what the alternative was and could choose then. -They did not know the alternative options until they turned down the main item. *They would have liked to had choices and had the alternatives posted on the menu. *If they did not want the main dish, alternative meal option, or soup then they had to wait until the rest of the residents were served. *They were not able to recall a time the staff had asked them what they wanted prior to meal services. *The meal was never served at 6:00 p.m. -It was usually 6:20 p.m. or 6:30 p.m. before it was served. *They would like the meal to have been served at the scheduled time. Interview on 3/28/18 at 2:43 p.m. with the administrator regarding meal service revealed and confirmed: *They had complaints of beverages being served warm, so they had changed that system. *The meal was served late due to the change in the beverage system. *She knew the meals were not served on time. *Residents had not gotten a choice for their meals until they refused the main meal item. *The alternative meal option was not listed on the posted menu. 2020-09-01