cms_SD: 65

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
65	AVERA MARYHOUSE LONG TERM CARE	435034	717 EAST DAKOTA	PIERRE	SD	57501	2017-05-24	166	E	0	1	43OZ11	Based on interview, record review, and grievance process review, the provider failed to ensure resident council concerns were followed-up on and resolutions were taken back to the resident council. Findings include: 1. Interview on 5/23/17 at 10:00 a.m. with a group of residents revealed: They had concerns with chicken being served all the time. The men's bathroom on first floor was not handicap accessible. -The women's bathroom had not been turned into a unisex bathroom. Laundry items went missing and were not returned. One resident was still missing an honor flight shirt. Those concerns had been brought up at resident council meetings. Review of the resident council minutes from 11/28/16 through 4/24/17 revealed: On 11/28/16 under other business was problems with getting laundry back. -On 12/29/16 under other business it stated Laundry knows they are working on it. -On 1/26/17 there had been no further documentation on the laundry concern. On 2/27/17 they had requested less chicken. -There had been no further documentation on the laundry concern. On 3/27/17 they had requested less chicken and stated the men's bathroom on first floor was not accessible. -Two grievance forms had been completed. --The first grievance form had been about having too much chicken. ---The resolution had stated they acknowledged chicken was on the menu way to close together and frequently. ---They would look at menus and change to summer cycle 6/1/17. ---There had been no signatures regarding who had filled out the form. --The second grievance form had been about the men's bathroom. ---The resolution had been to use the women's bathroom, and the sign would be changed to unisex. ---There had been no signatures regarding who had filled out the form. On 4/24/17 there had been no documentation regarding the follow-up to the menus or the men's bathroom. Surveyor: Interview on 5/24/17 at 8:44 a.m. with the social worker regarding missing clothing items revealed: Residents were to tell the nursing staff who in turn were to tell the social worker. She would send out a notice to all departments when an item was reported missing, and she looked in the linen rooms on each floor. -The laundry was done by floors, so any unmarked items were returned to the floor it came from. They tried to replace an item if it was lost and not found. She was unaware of listings of missing items that were on the back of linen room doors. There was no policy on how to handle missing laundry. She had not been aware of the missing laundry items reported during the group meetings. She agreed there was no system to ensure all missing items got reported to her. Surveyor: Interview on 5/24/17 at 9:30 a.m. with the activities director revealed: She was unaware the other department heads could attend the resident council meetings. She was unsure why the women's bathroom sign had not been changed to say unisex. She stated she had completed the 3/27/17 grievance forms. -She had not signed the forms. -She had turned the forms into the administrator for review. -There had been no documentation the administrator had seen the forms. -She knew getting back laundry was an issue but was not sure what the laundry department was doing to make it better. Interview on 5/24/17 at 10:40 a.m. with maintenance staff person H regarding the men's restroom by the main dining room on the 100 floor revealed he: Agreed the men's bathroom was not handicapped accessible. Had not seen a work order regarding the changing of the women's rest room to a unisex bathroom and the closing of the men's bathroom. Review of the provider's (MONTH) (YEAR) Grievance process revealed: If residents had an issue with their rights being violated they were to contact the nursing coordinator or the social worker. -The director of nursing would have been contacted and the issues should have been resolved within twenty-four hours. *The residents had the opportunity to file a grievance if they felt a problem was not resolved. -The residents were to contact in writing or per telephone the administration office or the vice president of outcomes and service excellence. -A written response was to have been expected within forty-five days upon receipt of the grievance detailing the steps taken to investigate the grievance.	2020-09-01