cms_SD: 30

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
30	AVERA ROSEBUD COUNTRY CARE CENTER	435029	300 PARK STREET POST OFFICE BOX 408	GREGORY	SD	57533	2018-12-19	657	D	0	1	ZMYV11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interview, and policy review, the provider failed to review and revise care plans to address residents' current needs for 2 of 12 sampled residents (26 and 37). Findings include: 1. Review of resident 26's medical record revealed: He had been admitted on [DATE]. His [DIAGNOSES REDACTED]. He had a history of [REDACTED]. His 11/14/18 quarterly Minimum Data Set (MDS) assessment Brief Interview of Mental Status (BIMS) cognitive score had been zero indicating severe cognitive impairment. His current care plan had interventions that included turning and repositioning every two hours. -That included toileting transfers. Observations of resident 26: On 12/17/18 from 7:45 a.m. through 11:10 a.m. and 2:00 p.m. through 5:30 p.m. revealed he had been sitting in his chair. He had not changed position or off-loaded his coccyx area. On 12/17/18 from 3:30 p.m. through 6:30 p.m. in the hallway and dining room revealed he had been sitting in his chair. He had not changed position or off-loaded his coccyx area during that time. Interview on 12/19/18 at 8:50 a.m. with the director of nurses revealed she agreed: Resident 26 had not be repositioned and off-loaded from his coccyx area during the above time frames. The care plans needed to be updated. 2. Review of resident 37's medical record revealed: She was admitted on [DATE]. Her [DIAGNOSES REDACTED]. Review of resident 37's 11/26/18 admission MDS assessment revealed: Her BIMS score had been three indicating severe cognitive impairment. She was an extensive assistance of one staff member with toileting and personal hygiene needs. -She had been able to indicate toileting needs. -She was always continent of bowel. She had a recent short stay hospitalization related to rule out [MEDICAL CONDITION], UTI, and constipation from 12/7/18 to 12/11/18. Her 11/26/18 care plan did not have a problem area, goal, or interventions related to her constipation. Interview on 12/19/18 at 11:56 a.m. with the MDS nurse regarding resident 37's care plan revealed: She had chronic issues with constipation. There was no explanation why the care plan did not have a problem area related to constipation. Surveyor 3. Review of the provider's effective (MONTH) (YEAR) Care Plan Procedure policy revealed: It contained details for staff to implement a care plan per Meditech Care Plans. Each discipline had been responsible for following that policy for care planning in the facility. The care plan was to have obtained measurable objectives for the highest level of functioning for each resident. The care plan was to have been structured with a resident centered approach. Care plans were to have been updated by designated staff.	2020-09-01