cms_SD: 90

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
90	ROLLING HILLS HEALTHCARE	435035	2200 13TH AVE	BELLE FOURCHE	SD	57717	2018-03-01	679	D	0	1	2S8V11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the provider failed to provide individualized activities to one of six sampled dependent residents (41). Findings include: 1. Review of resident 41's medical record revealed: She had been admitted on [DATE]. She had been admitted from the hospital for weakness. She had been at home prior to that with a care giver. She had twenty-four falls since her admission on 12/19/17. Review of resident 41's 12/26/17 Minimum Data Set (MDS) assessment revealed her Brief Interview for Mental Status (BIMS) score was zero indicating she had severe cognitive impairment. Observation on 2/27/18 at 11:20 a.m. of resident 41 revealed: She was in her room sitting in her recliner watching the TV. Her leg was stuck in-between the foot rest of the recliner and the seat. Observation and interview on 2/27/18 at 11:45 a.m. with registered nurse (RN) I regarding resident 41 revealed: She was lying in her bed. RN I stated she was told about the resident getting her leg stuck in the recliner. They were going to remove the recliner from her room due to the incident. At that time the maintenance director came over to take the recliner out of her room. RN I stated the resident could not be left alone in her wheelchair without supervision, as she had fallen out of the wheelchair. -She had hit her head as a result of falling out of her wheelchair. Observation on 2/27/18 at 2:10 p.m. of resident 41 revealed she was lying in her bed with no radio or TV on. Observation on 2/27/18 at 4:50 p.m. of resident 41 revealed she was lying in bed with no radio or TV on. She was awake. Observation on 2/27/18 at 6:25 p.m. of resident 41 revealed: She was lying in bed. She was attempting to get out of bed. Both legs were over the scooped mattress. She was trying to lift her body up. She was wide awake. There had been no staff around. Observation on 2/28/18 at 7:29 a.m. of resident 41 revealed she was up in her wheelchair in the living room/common area. Observation on 2/28/18 at 8:29 a.m. of resident 41 revealed she was up in her wheelchair in the living room/common area. She was slouched over. Observation on 2/28/18 at 8:49 a.m. regarding resident 41 revealed: She was slouched over in her wheelchair sleeping. There had been no staff in the area supervising her. Observation on 2/28/18 at 9:02 a.m. of resident 41 revealed she was taken into her room and laid down. Observation on 2/28/18 at 9:27 a.m. of resident 41 revealed she was attempting to get up out of bed. There had been no staff around to witness her attempt at getting up. Interview on 2/28/18 at 9:31 a.m. with CNA N revealed: They checked on resident 41 every two hours to see if she needed to go to the bathroom. They usually laid her down in between meals. She is the first one they lay down after breakfast, and the last one to get up before lunch. Observation on 2/28/18 at 10:00 a.m. of resident 41 revealed RN I had been in her room changing her dressings to her heels. She was in a sitting position with her feet hanging over the bed. She was lying back against wall. Interview on 3/01/18 at 9:49 a.m. with the social services designee regarding resident 41 revealed: She had made a referral to the mental health services in the area. Her niece wanted her to be moved to another facility, and she was working on that. There were no other interventions she was attempting with the resident. There had been no documentation regarding social service interventions. Observation on 3/01/18 at 9:59 a.m. of resident 41 revealed she was lying in bed with both feet hanging off the bed. There were no staff around to see her. The TV and radio were not on. Observation on 3/01/18 at 10:41 a.m. of resident 41 revealed: She had been lying in bed. Both legs were hanging off the side of the bed. The lights were off. She was awake. Observation on 3/01/18 at 1:02 p.m. of resident 41 revealed she was lying in bed with no TV or radio on. Interview on 3/01/18 at 1:02 p.m. with the recreation services manager regarding resident 41 revealed: She had not done an assessment upon admission regarding her activity choices or preferences. Her niece thought she would like BINGO, but the recreation services manager stated she did not think she would like it. She had not asked the niece about any other likes of the resident. She thought the resident liked to people watch the most. She sometimes refused and had not wanted to participate in activities. She had not been doing one-on-ones with her. Stated I know we need to do more with her. The music/radio/TV activity was usually in her room. The socializing with others activity was at meals. She was not sure how to print the activities logs for (MONTH) (YEAR) or (MONTH) (YEAR). Review of resident 41's (MONTH) (YEAR) activities documentation revealed: Her activities included church services, radio/music/TV, friends/family visit, and socializing with others. She had attended church three times. She had family or friends visit three times. She had radio/music/TV marked twenty-five times. She had socializing with others marked twenty-five times. There were no other activities documented. Interview on 3/01/18 at 2:03 p.m. with the director of nursing regarding resident 41 revealed they had been laying her down in bed after meals. They had been doing that because she had to be supervised when she was in her wheelchair. She was unsure what activities they had been doing with her.	2020-09-01