cms_SD: 82

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

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rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
82	ROLLING HILLS HEALTHCARE	435035	2200 13TH AVE	BELLE FOURCHE	SD	57717	2017-02-01	312	D	0	1	X0TZ11	Based on observation, record review, interview, and policy review, the provider failed to ensure assistance with eating was given to one of one sampled resident (3) who had a visual impairment and impaired thinking ability. Findings include: 1. Review of resident 3's 11/24/16 Minimum Data Set assessment revealed: Her vision was moderately impaired. Her Brief Interview for Mental Status (BIMS) score was a three. -A score of zero through seven meant her thinking ability was severely impaired. She was independent with eating, and only needed set-up help. Observation on 1/31/17 from 11:50 a.m. through 12:35 p.m. of resident 3 in the dining room revealed: She had been served her food at 12:20 p.m. She was served turkey with gravy, round small white potatoes, a bun, and fruit in a separate bowl. She was unable to find her silverware. She used her fingers to pick up the potatoes. Her neighbor at the table had told her where her silverware were. She stabbed the whole bun with her fork. Her neighbor told her not to do that and instructed her to pull the bun apart. Her neighbor cut up the turkey for her. At 12:30 p.m. she asked this surveyor what was on her plate and stated she could not see what was on it. The turkey was pointed out to her, and she still could not see it or pick it up with a fork. She asked this surveyor where the potatoes were and continued to poke around on her plate until she was shown. Observation on 1/31/17 from 5:25 p.m. through 6:10 p.m. of resident 3 in the dining room revealed: At 5:45 p.m. she had been served a sandwich, beets in a cup, and soup by the licensed social worker (LSW). Her neighbor had told her to wake up. She told the LSW she could not see the food. The LSW dumped the beets onto her plate with the sandwich. She used her fork for her soup. She asked what the sandwich was, and staff told her she could pick it up with her hands. She then attempted to pick up the bowl of soup. -Staff stopped her before it had spilled. She asked again what her sandwich was. She was poking around at the beets and was unable to get them on her fork. -She lifted the fork to her mouth three times with no beets on the fork. At 5:50 p.m. the LSW brought a chair over and assisted her with eating. At 5:55 p.m. the activities director took the LSW's place at the table to assist the resident. The resident was stabbing the sandwich with a fork and the staff told her she could pick it up with her hands. Interview on 1/31/17 at 6:00 p.m. with the activities director regarding resident 3 revealed she was unaware if she was supposed to receive help with eating. The LSW had asked her to sit there. She stated Sometimes she eats and sometimes she doesn't. She stated she normally only needed cueing to eat. Interview on 1/31/17 at 6:10 p.m. with the dietary manager regarding resident 3 revealed they had attempted to move her to the assisted room, but she had refused. She agreed she was confused and needed assistance. Staff were to tell her where the food was located based on the dial of a clock. She agreed someone who was confused might not be able to remember that information. She was unable to provide what other interventions had been attempted for her. Interview on 2/1/17 at 2:30 p.m. with the director of nursing, the administrator, and the nurse consultant regarding resident 3 revealed: She had a visual impairment. She was confused and had impaired thinking ability. She had been declining and was offered to be moved into the assisted dining room, but she had refused. Agreed it was her right to refuse to move and to stay at her current table. Review of the provider's undated Dining Experience policy revealed it had not addressed residents who needed assistance with eating.	2020-09-01