cms_SD: 6

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
6	PRAIRIE HEIGHTS HEALTHCARE	435004	400 8TH AVENUE NW	ABERDEEN	SD	57401	2019-06-26	610	D	0	1	9U2F11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Surveyor: Based on interview, record review, and policy review, the provider failed to thoroughly investigate an incident for one of one sampled resident (47) who had a fall with a head injury. Findings include: 1. Review of resident 47's medical record revealed: She was admitted on [DATE]. Her Brief Interview for Mental Status (BIMS) assessment score was an eleven indicating her cognition was moderately impaired. She required the extensive assistance of two staff members for bed mobility. On 5/5/19 she had rolled out of bed. Review of resident 47's fall investigation from 5/5/19 revealed: She fell out of bed. Positioning pillows were discontinued on 12/26/19 due to limited mobility. The staff that were present had been interviewed. -She had been provided incontinent care at 3:00 a.m. -They had been in her room at 4:00 a.m. -She was found on the floor at 4:15 a.m. --Her bed was damp, and she was wet with urine. The investigation did not indicate the resident's position in the bed fifteen minutes prior to the fall. Interview on 6/26/19 at 8:28 a.m. with the director of nursing (DON) revealed she felt if a resident was asked immediately following an incident regardless of their BIMS score they could tell you what happened. Interview on 6/26/19 at 8:33 a.m. with registered nurse E, the director of nursing, and the administrator regarding resident 47's 5/5/19 fall revealed: She was taken at her word for how she fell out of bed. It was not investigated how the resident was positioned in her bed prior to the fall. -If she had been near the edge of the bed when staff were in the room fifteen minutes prior to the fall it was the expectation she would have been repositioned. -They agreed what the resident was doing prior to a fall could be added to their investigation form. There were no other interventions evaluated prior to the implementation of the positioning pillows. They did not know what had caused the fall. Review of the provider's (YEAR) Assessing Falls and Their Causes policy revealed: The purposes of this procedure are to provide guidelines for evaluating/gathering data on a resident after a fall and to assist staff in identifying causes of the fall. Within 24 hours of a fall, begin to try to identify possible or likely causes of the incident. *Continue to collect and evaluate information until the cause of falling is identified or it is determined that the cause cannot be found.	2020-09-01