cms_SD: 72

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
72	AVERA MARYHOUSE LONG TERM CARE	435034	717 EAST DAKOTA	PIERRE	SD	57501	2019-08-07	550	D	0	1	ILL611	Based on observation, interview, record review, and review of the Resident Information Handbook, the provider failed to ensure one of one sampled resident (52) was dressed in a dignified manner. Findings include: 1. Observation on 8/5/19 at 5:45 p.m. of certified nurse aide (CNA) G and CNA H revealed: They had transferred resident 52 with a mechanical lift. The backside of the resident's pants had been cut from the center of the waistband to the crotch. CNA G had stated that made it easier to remove the resident's pants when she was toileted. CNA G had given the resident two plastic clips to secure her shirt to the pants after the lift was completed. Interview on 8/5/19 at 5:52 p.m. with resident 52 regarding those pants revealed: She had stated I hate it. The modified pants made her feel self-conscious. She said staff had told her they were working on a modification to make the cut pants more discreet. -She had been told that over a month ago. Interview on 8/6/19 at 2:15 p.m. with resident 52 revealed: She had gone into the community today and had been dressed in a regular pair of pants. She was re-dressed upon returning to the facility into a pair of cut pants. -The cut pants were not her own and had been provided to her by the facility. She had stated They (the pants) keep falling down. -The plastic clothespin and another plastic clip she had used to keep her pants up were her own. Interview on 8/7/19 at 1:20 p.m. with the social services designee revealed: She was aware of resident 52's dislike of the cut pants. -That had been discussed at her 7/3/19 interdisciplinary care conference. -She had thought a staff member was working on a modification to the pants. She was unaware the resident had been using her own plastic clothespin and clip to secure her top to her pants. -She had thought the clothespin and clip were appropriate to use if it works. She was unaware of the resident's concern for skin exposure when she wore the cut pants. -She had stated I don't know if it looks so good dignity wise and if we could find something better that would be good. Review of resident 52's medical record revealed her Brief Interview for Mental Status assessment score was fifteen indicating her cognition was intact. Review of the 7/3/19 care conference progress note revealed: Resident Comments: -Wants to wear her own un-modified pants, but now that she is unable to stand to bear weight, must use the maxi lift and has been unwilling to roll side to side, has been trialing split pants but she doesn't like these; we are willing to modify these for her with a strap/connector, but she still wants to wear unmodified pants. A Dignity policy was requested on 8/7/19 at 11:30 a.m. from the administrator, however she stated the facility did not have one. Review of the provider's undated Resident Information Handbook revealed: *Emotionally: -The daily goal of our nursing facility is to encourage residents and patients to live at their highest level of physical, emotional, and mental capabilities. Respect for the dignity of the human person is basic to our philosophy of care.	2020-09-01