cms_SD: 17

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
17	AVANTARA HURON	435020	1345 MICHIGAN AVENUE SW	HURON	SD	57350	2018-02-07	658	D	0	1	TWBV11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the provider failed to accurately document one of one sampled resident's (7) current situation related to a medication change that had not occurred. Findings include: 1. Review of resident 7's medical record revealed on 2/6/18 the care conference note stated her [MEDICATION NAME] had been decreased in (MONTH) (YEAR) and the [MEDICATION NAME] had been decreased in (MONTH) (YEAR). Interview on 2/7/18 at 3:42 p.m. with the director of nursing (DON), the administrator, and resident care coordinator (RCC) A regarding resident 7 revealed: They had just discussed the decrease in medication from (MONTH) (YEAR) this past week. They felt the resident had been exhibiting more behaviors, and they had contacted the physician for her to be seen the next time rounds were done. They felt the medication needed to be adjusted again and for it to go back to what it was prior to December. Documentation was requested from the DON at that time for monitoring the effectiveness of both medication changes. Interview on 2/7/18 at 4:00 p.m. with RCC A revealed there had not been a medication change of the [MEDICATION NAME] in (MONTH) (YEAR). She had documented inaccurately in the care conference note. She had looked at the physician order [REDACTED]. She realized after reviewing the chart again the only change to the order had been Do not crush. Adding that phrase changed the date on the order to 12/4/17. She had assumed based on that date the medication had been reduced which was inaccurate. Review of [NAME] [NAME] Potter and Anne Griffen Perry, Fundamentals of Nursing, 9th Ed., St. Louis, Mo., (YEAR), p. 356, revealed: Documentation is a nursing action that produces a written account of pertinent patient (resident) data, nursing clinical decisions and interventions, and patient responses in a health record. Nursing documentation needs to be accurate and comprehensive.	2020-09-01