cms_SD: 12

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
12 AVANTARA MILBANK 435009 1103 SOUTH SECOND STREET MILBANK SD 57252 2019-11-06 584 E 0 1 O5MT11 Based on observation, interview, and policy review, the provider failed to ensure a sanitary and homelike environment was maintained for: *One of one randomly observed laundry service area was clean and in good condition. *The heating system in one of one laundry service area was working properly to ensure the temperature in the room was maintained at a comfortable working level. *The ceiling tile on four of four observed wings (100, 300, 400, and 500) was clean and in good repair. *Multiple metal brackets and hardware holding the ceiling tile in place for four of four observed wings (100, 300, 400, and 500) had cleanable surfaces. Findings include: 1a. Observation and interview on 11/5/19 at 9:30 a.m. with laundry assistant A of the laundry service area revealed: *The flooring in the entire area was tiled. -Multiple tiles throughout the area were chipped or had broken pieces off of them. Those missing and chipped pieces of tile: --Were rough and jagged around the edges of it. --Created and exposed a concrete surface that was uncleanable. *The entire wall located by the two clothes dryers and resident clean clothes storage area was warped, chipped, and missing large areas of paint. -Those areas covered greater than 50% (percent) of the wall. -Those areas had exposed the wall board and gypsum underneath of it to create an uncleanable surface. *There were four wooden doors in that area. -The protective covering on those doors was gouged, chipped, or missing in several areas. --Those areas exposed the raw wood underneath of it and created an uncleanable surface. *There were two clothes dryers in the clean clothes area. The protective covering on the outside surfaces of one of those dryers was missing and was rusted underneath of it. -Those rusted areas created an uncleanable surface. *There were two small metal clothes carts in the clothes drying area. She used the carts to transport the clean linens from the washer to the dryers. -Those carts: --Were on wheels and had the capability of being rolled to other areas of the room and facility. --Had large open holes to all the surfaces on it, so the laundry was exposed to the environmental elements during transportation of it. --A protective material covering the metal on the carts. The material was chipped and missing in multiple areas. Those chipped and missing pieces of covering created uncleanable surfaces for the clean laundry to be transported in and on. *The grates on two of four ceiling vents: -Were dirty with gray colored lint. -Were metal and had several areas that were rusted on them. --Those rusted areas created uncleanable surfaces. *The ceiling had been covered with wall board and was painted. -The paint was warped, cracked, and pulling away from the wall board in several places in all areas of that room. Continued observation and interview on 11/5/19 at 9:35 a.m. with laundry assistant A of the laundry service area revealed: *The room was quite cold and caused the surveyor to shiver. -The surveyor was dressed in a sweater, long pants, and boots. *The laundry assistant stated: -There is no heat in this room, I know it's freezing in here. -I've worked here 5 1/2 years and I don't think it has ever worked. -They know about it, I just put up with it, and keep moving I have no choice. Interview on 11/5/19 at 1:20 p.m. with the laundry service supervisor B revealed he: *Had been aware of all the concerns identified above. *Stated: -Management is aware of the problems in that room. -It's been like that for a while, we've tried to paint it and keep it as clean as we can. *Confirmed the heat did not work in the laundry service area and made for an uncomfortable environment for him and his staff to work in. *Stated: During the winter I wear my heavy coat in there because it's so cold. b. Random observations on 11/4/19 from 2:10 p.m. through 5:30 p.m. of the ceiling tile and the metal brackets on the 100, 300, 400, and 500 wings revealed: *That tile was in the shape of squares and was held in place by metal brackets. *That tile was: -Torn in multiple areas and exposed the insulation inside of it. -Warped and did not fit properly in the metal brackets in multiple areas. *The metal brackets holding the tile in place were rusted in several areas. -Those rusted surfaces had created uncleanable surfaces. c. Interview on 11/5/19 at 1:30 p.m. with the administrator revealed: *She confirmed the observations and interviews above. *There had been budget restraints in the past, and she was hopeful that would change with the new ownership and help with repairs that were needed. *She stated: -It needs a new roof because it's leaking in several areas all over the building. -They said they are doing things in phases, and the repair for that is phase two. *There were no certain dates and times specified for when she could have expected those repairs to occur or be initiated. Review of the provider's 5/1/11 Maintenance Services policy revealed: *To assure that the facility's buildings, grounds, and equipment are maintained in a safe and operable manner at all times. *All facilities managed by (provider name) shall implement a policy to assure that the facility is periodically maintained to assure its effective and efficient operation. *The maintenance department will operate the facility in compliance with current federal, state, and local laws, regulations and guidelines that may include, maintaining: -The building in good repair and free from hazards. -The heating, ventilation, and air conditioning systems in proper working order. *The maintenance department will work with facility administration and corporate Facility Services staff to establish priorities for repair and replacement of critical building components and infrastructure. *The Administrator is responsible for the overall supervision of the Environmental Services Department. 2020-09-01