cms_SD: 100

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
100 ROLLING HILLS HEALTHCARE 435035 2200 13TH AVE BELLE FOURCHE SD 57717 2019-05-23 656 E 0 1 LF7K11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview, and policy review, the provider failed to develop and revise individual care plans to reflect the needs and desires for eight of nineteen sampled residents (9, 23, 45, 52, 53, 56, 62, and 73). Findings include: 1. Review of resident 56's care plan with a print date of 5/22/19 revealed: *A focus area for a pressure wound. *A new skin area concern on 5/21/19 had not been identified on the current care plan. Refer to F686 finding 4. 2. Review of resident 62's current care plan printed on 5/22/19 revealed: *A focus area for skin breakdown. *The interventions for the above areas had been I am refusing foam boots, staff will continue to offer these. offer pillows to offload heels when in bed. Refer to F686 finding 4. Resident #52 3. Review of resident 52's care plan revealed:*Focus:-I need assistance in:-Dressing. -Grooming. -Bathing.-Date initiated: 10/11/18.*Interventions:-I need extensive assist of one staff with my:-Dressing.-Grooming.-Bathing.-Date initiated:10/11/18. *Her 4/16/19 quarterly minimum data set revealed: -She was an extensive assist with a two plus person physical assist for: --Dressing. --Personal hygiene. --Bathing.*Focus:-Transfers/Bed Mobility/Ambulation.-Date initiated: 10/11/18.*Interventions:-Staff use a sit to stand lift to transfer me.-I need extensive assistance of one staff person with: --Bed Mobility.--Transfers.--Ambulation.-Date initiated: 10/11/18.*Focus: -I am at risk for falls. -Date initiated: 10/11/18.-Revision on 11/6/18. *Interventions: -Do not leave me unattended in my wheelchair in my room, as I may fall out of it. -Date initiated: 1/2/19.Interview on 05/23/19 at 12:30 p.m. with the DON concerning resident 52 revealed she agreed:*She was not to be left alone in a wheelchair in her room.*She was a Hoyer lift.*The careplan needed to be updated to match the Minimum Data Set and her needs.Refer to F550, finding 1 and F684, finding 1. 4. Resident 23 did not have a complete and comprehensive care plan. Refer to F745 finding 2. 5. Resident 9 did not have a complete and comprehensive care plan. Refer to F686 finding 1. 6. Resident 45 did not have a complete and comprehensive care plan. Please, refer to F686 finding 2. 7. Resident 73 did not have a complete and comprehensive care plan. Please, refer to F686 finding 3. 8. Review of resident 53's medical record revealed he had: *A [DIAGNOSES REDACTED]. *admitted on [DATE]. *A history of extended spectrum beta lactamase (ESBL). *A new pressure ulcer on his left calf which had been discovered on 3/11/19. Review of resident 53's 3/15/19 revised care plan revealed: *No documentation found on his care plan regarding the 3/11/19 pressure ulcer on his left calf until 4/29/19. *On 3/15/19 his contact precautions for ESBL had been discontinued. -Staff had continued to follow contact precaution practices after 3/15/19. -There was no physician order for [REDACTED].>Interview on 5/23/19 at 11:53 a.m. with the administrator and DON regarding resident 53's care plan: *Confirmed the care plan should have been revised. *Acknowledged the care plan had not been updated to reflect his current status. Review of the provider's dated Quarter 3, (YEAR) Care Plans, Comprehensive Person-Centered policy and procedure revealed: *A comprehensive person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. *Assessments of residents are ongoing and care plans are revised as information about the residents and the residents' conditions change. 2020-09-01