cms_SD: 26

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
26	AVANTARA HURON	435020	1345 MICHIGAN AVENUE SW	HURON	SD	57350	2016-12-07	281	D	0	1	EGJW11	Based on observation, interview, record review, and procedure review, the provider failed to follow professional nursing standards to administer a tube feeding for one of one sampled resident (8) regarding tube placement and elevated head position. Findings include: 1. Observation and interview on 12/6/16 at 2:45 p.m. of registered nurse (RN) A working with resident 8 revealed: He had a gastrostomy jejunostomy (G J) tube located in the abdomen. He was lying flat in his bed. He received a liquid nutritional supplement four times a day along with medications through the g portion of the tube, that went into the stomach. She prepared the resident's medication and nutritional supplement. Without checking for tube placement she gave his medication and the supplement through the G port of the tube. She had not elevated the head of the bed to prevent possible aspiration into the lungs. Review of resident 8's medical records revealed: His admitted was 11/10/15. He had a stroke and was unable to swallow well. He also took food orally. Verification of the G J tube, and his supplement and medications were to go through the g portion of the tube. An addition to his care plan dated 10/26/16 revealed the head of the bed was to be elevated at all times. Review of the provider's 8/16/12 Enteral Tube Feeding via Syringe (Bolus) procedure revealed: Elevate head of bed 30-45 (degrees) (semi-Fowler's position). Verify placement of tube. Initiate feeding. Interview on 12/6/16 at 5:45 p.m. with the director of nursing regarding resident 8's tube feeding revealed: She agreed the nurse should have checked the tube placement before giving anything through it. She agreed the head of his bed should have been elevated. Review of [NAME] [NAME] Potter and Anne Griffin Perry, Fundamentals of Nursing, 8th Ed., St. Louis, Mo.,2013, p.1032, revealed: Place patient in high-Fowler's position or elevate head of bed at least 30 (preferably 45) degrees. Elevated head helps prevent aspiration (Kenny and Goodman, 2010). Verify tube placement: .	2020-09-01