cms_SD: 23

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
23	AVANTARA HURON	435020	1345 MICHIGAN AVENUE SW	HURON	SD	57350	2019-05-09	658	D	0	1	L4FS11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and protocol review, the provider failed to ensure documentation was completed for one of four sampled residents (18) who had a pressure ulcer. Findings include: 1. Review of resident 18's medical record revealed: A telephone order dated 1/27/19 at 4:30 p.m. from a physician (name). Order stated to apply Allevyn to opened area on the coccyx. -Change every (q) three days and as needed (PRN) until healed. Minimum (MDS) data set [DATE] indicated a stage 2 pressure ulcer. There had not been any: -Additional nursing progress notes regarding that pressure ulcer. -Documentation of notification to the family or physician. -Measurements of the pressure ulcer. -Weekly skin assessments. -Initial event report. Review of a 2/12/19 at 12:40 p.m. interdisciplinary progress note revealed: Category: Skin assessment, physician visit. -Primary care physician (name) was there for an acute visit and assess the coccyx/buttock pressure sore. -Buttock is chapped, dry peeling skin with an open area mid coccyx noted. -Allevyn dressing changed after assessment completed. Interview on 5/08/19 at 9:50 a.m. with the director of nursing (DON) regarding resident 18 revealed: The DON confirmed the above findings. She saw a telephone communication from the physician dated 1/27/19 that stated to change the dressing q 3 days or as needed if it came off. Based on that information she believed the pressure ulcer to the resident's coccyx had started on that date. She stated she did not know why there had not been: -An initial event report. -Documentation in the pressure ulcer log. -Documentation of notification to the physician. -Documentation of notification to the family. Review of the provider's revised 3/24/17 Pressure Ulcer/Skin Breakdown-Clinical Protocol revealed: If skin breakdown or pressure ulcer was discovered, the following would be notified immediately: -Attending physician -Resident's responsible party. -Wing coordinator and/or skin team representative. The nurse should assess and document/report the following: -Vital signs -Full assessment of the pressure sore including location, stage, length, width, depth, and presence of exudates or necrotic tissue. -Pain assessment. -Resident's age and sex. -Resident's mobility status. -Current treatments including support surfaces. -All active diagnoses.	2020-09-01