cms_SD: 2

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
2	PRAIRIE HEIGHTS HEALTHCARE	435004	400 8TH AVENUE NW	ABERDEEN	SD	57401	2018-03-29	657	D	0	1	XF2S11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interview, and policy review, the provider failed to update and revise care plans for 3 of 18 sampled residents (8, 28, and 60). Findings include: 1. Review of resident 60's medical record revealed she had developed a pressure ulcer to her left heel on 3/12/18. Her care plan had not been updated to reflect that information. Refer to F686, finding 1. 2. Review of resident 8's 12/5/17, 2/14/18, and 3/16/18 care plans for skin integrity and pressure ulcers revealed a gap in documentation with no preventative interventions for a resident with a history of pressure ulcers. Refer to F686, finding 2. 3. Review of resident 28's undated care plan revealed she: Was admitted on [DATE]. Had two hospitalization s, and her last readmitted was 1/31/18. Had focus areas for: [MEDICAL CONDITION], anticoagulant therapy, insulin r/t (related to) diabetes, diuretic therapy r/t heart failure, and respiratory distress. Interventions and tasks such as: -Labs as ordered. -Monitor blood sugar, lab results as ordered by physician. -Administer medication pre physician orders. --Interventions and tasks were not resident specific. --Did not have adequate information to provide interventions and methods to monitor above areas. 4. Interview on 3/29/18 at 7:50 a.m. with the minimum data set (MDS) nurse regarding care plans revealed: The initial care plan was created from the nurses admission assessment. The first of the year they had started a new process with the care plans where if a resident was admitted and then discharged upon return to the facility, the care plan had to be completely regenerated. -Previous to the first of the year the care plan could be used from before. The nurses were not comparing the previous care plan to the current care plan. -Interventions and tasks had not been brought forward. -Care plans were not complete. She stated resident 25's care plan would be corrected today. She had been reviewing them upon quarterly review, resident 25 had been in and out of hospital, so her care plan had not been reviewed at this time. She agreed the areas of insulin/diabetes, anticoagulant therapy, cardiac diagnoses, and respiratory distress did not have adequate information to provide interventions and methods to monitor those areas. Surveyor: Review of the provider's (MONTH) (YEAR) Interdisciplinary Care Planning policy revealed: The patient's (residents) care plan is a communication tool that guides members of the interdisciplinary healthcare team in how to meet each individual patient's needs. It also identifies the types of methods of care that the patient should receive. The care plan should focus on: -Preventing avoidable declines in function. -Managing patient risk factors. -Preserving and building on patient's strengths. -Patient's goals and individualized preferences. -Evaluating care and progress toward goals. -Respecting the patient's right to decline treatment. -Using an interdisciplinary approach. -Involving the patient and family. -Planning to care to meet the patients needs. -Involving direct care staff. The care plan should: -Include patient-specific measurable objectives and time frames. -Include collaboration with other agencies that provides services to the patient (i.e. hospice or [MEDICAL TREATMENT]) including who provides that service. -Describe the services that the facility is to provide. -Describe any services that the patient should have, but refuses.	2020-09-01