cms_SD: 22

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
22	AVANTARA HURON	435020	1345 MICHIGAN AVENUE SW	HURON	SD	57350	2019-05-09	584	D	0	1	L4FS11	Based on observation, interview, and policy review, the provider failed to ensure: One (hallway A) of four hallways was clean and in good repair. Mechanical lifts stored in resident's rooms in one of four hallways (E wing) had prevented residents access to their items. Findings include: 1. Observation on 5/9/19 from 7:20 a.m. through 9:00 a.m. of residents' rooms (513, 514, 515, 516, 517, and 518) revealed: There were between three and ten tan tiles in the door way of each resident's room. -There was approximately 1/8 to 1/4 inch gap between the tan tiles in the door ways and the white tiles in the rooms. -Dust and grime could be scraped out of those gaps with a fingernail. -Dust build-up in the corners of each door way that could be wiped off the floor. -One door way was rusted at the bottom and had started staining the tiles that were next to it. -One door had three gouges across the bottom of the door deep enough that no varnish remained. -There was a white substance splattered on two of the six doors approximately one fourth of the way up and all the way across the bottom. -There were two rooms that had tiles cracking along the top of the tiles. There were five residents' rooms with brown plastic protectors on the doors. -They were secured to the doors with fifteen screws. -They were not sealed and left gaps between the door and the plastic piece. -The edges of the plastic were sharp. -One plastic piece was broken on the corner under the screw that was holding it to the door. Interview on 5/9/19 at 8:41 a.m. with the head of housekeeping and laundry revealed: They had been short staffed in housekeeping with only two housekeepers to clean the entire facility. With only having two housekeepers for the facility they had not been able to get all of the cleaning done. They had made residents' rooms and dining rooms their priority for cleaning. The white splatter on the doors was floor wax, and she had been unable to get it cleaned off the doors. Interview on 5/9/19 at 8:49 a.m. with the maintenance man revealed: The hallway floors were cleaned by a floor machine daily. Residents' rooms were mopped daily. There was no schedule for deep cleaning the floors. The plastic pieces on the doors were replaced quarterly when the maintenance report was generated. -He agreed they were not sealed and could not be cleaned behind. -He would replace the plastic pieces as needed when he noticed they were in poor repair. -He agreed the plastic pieces with wax on them should have been replaced if they could not be cleaned. He agreed it was dirty in the gaps between the tiles in the rooms. He agreed that one door frame was dirty and rusty. 2. Interview on 5/8/19 at 9:02 a.m. with CNA F revealed: Mechanical lifts were generally stored in residents' rooms, because they had no where to store them. They were generally stored in front of the closet doors. -They would have needed to be moved to open the closet. Those lifts were used for several residents. Resident 78 usually had a mechanical lift stored by her bed. -Several residents used that lift. Interview on 5/8/19 at 10:54 a.m. with resident 78 revealed: She usually had a mechanical lift stored on her side of the room. Staff used that lift to transfer her along with several other residents. She had a Brief Interview for Mental Status (BIMS) of fifteen. She was cognitively intact. She was able to get around the room in her wheelchair. She did not have access to her night stand or her bed while the lift was stored in her room. She preferred not to have the lift stored in her room. 3. Interview on 5/7/19 at 9:11 a.m. with CNA K regarding the mechanical lift stored in resident 24's room revealed: That lift was not used by anyone in that room. It got pushed in there out of the hallway. They had removed the lifts from the hallways because the surveyors were here. Observation and interview on 5/8/19 at 9:18 a.m. with the resident care coordinator in resident 24's room revealed: There was a mechanical lift stored in the far corner of the room. -It was stored in front of the closet doors. -It would have needed to be moved to open the closet door. The resident care coordinator stated: -Lifts were kept in the resident's room. -She had been told from the beginning that it was an acceptable place to keep them. -At times the lifts would be kept in the hallways. Surveyor Review of the provider's 11/26/18 Homelike Environment policy revealed: Resident's are provided with a safe, clean, comfortable and homelike environment and encouraged to use their personal belongings to the extent possible. *The Facility staff and management shall maximize, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting. These characteristics include: clean, sanitary and orderly environment.	2020-09-01