cms_SD: 71

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
71	AVERA MARYHOUSE LONG TERM CARE	435034	717 EAST DAKOTA	PIERRE	SD	57501	2017-05-24	456	E	0	1	43OZ11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and manufacturer's instructions, the provider failed to ensure: Two of three whirlpool baths (100 and 300 floors) were maintained in working order, with all jets covered, on a regular basis. Eight of eight EZ Stand lifts shared and moved between the three floors were maintained on a monthly basis with safety clips/safety tabs in place as per manufacturer's instructions. Findings include: 1. Observation on 5/22/17 from 4:25 p.m. through 5:45 p.m. identified: Three EZ Stand lifts on the 100 floor had: -Combination metal safety clips and rubber tabs on all three lifts on the floor. -Rubber tabs were not positioned to hold the lift sling loops in place. The whirlpool tub jets were missing five of twelve inserts and nine of twelve covers. 2. Observation on 5/23/17 at 9:00 a.m. on all three floors found: A total of eight lifts (100, 200, and 300 floors) had the same above observations as were made on the 100 floor. The whirlpool tub on the 300 floor was missing seven inserts and ten covers. 3. A group meeting with residents on 5/23/17 at 10:00 a.m. revealed the jets had not been working on the 100 floor whirlpool. 4. Interviews on 5/24/17 between 9:00 a.m. and 9:20 a.m. with certified nursing assistants I and J on the 100 floor revealed the whirlpool jets worked if the tub was half filled with water but not if the tub was full of water. Interview on 5/24/17 at 10:40 a.m. with the maintenance staff person H revealed: He believed biomedical engineering was maintaining the lifts. -After calling biomedical engineering it was found they only maintained the electrical components not the lift itself. There was no routine or preventative maintenance of the lifts being done. He had not been informed of the whirlpool tub jets on the 100 and 300 floors missing inserts and covers. -Nursing staff were to notify the maintenance department. He had not been informed of the whirlpool jets not working on the 100 floor. -Nursing staff were to notify the maintenance department. Review of the EZ [MEDICATION NAME] Stand manufacturer's instructions dated 6/27/03 identified the lifts were to be maintained monthly. The whirlpool manufacturer's instructions were requested of maintenance staff person H on 5/24/17 at 11:15 a.m., but were not received before the end of the survey.	2020-09-01