cms_MS: 15

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
15	WINSTON COUNTY NURSING HOME	255072	17560 EAST MAIN STREET	LOUISVILLE	MS	39339	2016-02-24	221	D	0	1	MMRK11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, facility policy review, record review and resident interview, the facility failed to ensure that a resident was free from physical restraints as evidenced by Resident #11 had a self release seat belt that she was unable to release upon command for one (1) of three (3) residents reviewed with a self release seat belt. (Resident #11). Findings Include: Facility policy titled, Restraint Use, with a revision date of 8/29/14 revealed, the purpose is to provide residents with physical safety if the resident is at risk to cause harm to themselves. Procedure #3 stated, physical restraints may be defined as a waist belt, roll belt, lap buddy or geri-chair with a tray. During an interview at 9:30 AM on 2/24/16, the Director of Nursing (DON) stated, Resident #11 can release the seat belt, so the facility does not consider it a restraint. At 10:40 AM on 2/24/16, an observation revealed Resident #11 sitting in her wheelchair in her room with the self release seat belt across her waist, attached to the wheelchair. LPN #1 asked Resident #11 to release the self release seat belt. Resident #11 stated, I rarely ever am able to release it. LPN #1 instructed resident to unhook the belt. Resident #11 stated, No. Resident #11 was observed pushing and pulling on the belt and buckle. Resident #11 stated, I can't do it, I'll give it to you, you do it. LPN #1 instructed Resident # 11 to push red button. Resident #11 attempted to push release button, but was unable to push in enough to release belt. Resident #11 attempted for four (4) minutes without releasing belt. LPN #1 stated, She is not going to be able today. She's having a bad day. A review of Resident #11's signed physician's orders [REDACTED]. At 10:45 AM on 2/24/16 an interview with the facility Administrator revealed, some days Resident #11 can remove the seat belt and some days she cannot. Administrator stated the facility is going to do a restraint reduction attempt to see if Resident #11 still needs the belt and will document belt as a restraint. At 11:15 AM on 2/24/16, an interview with the Minimum Data Set (MDS) Coordinator revealed, that if the resident is not able to release the self release seat belt, it should be considered a restraint. At 11:30 AM on 2/24/16, an interview with the DON revealed, if the resident cannot release the belt by herself, it should be considered a restraint. The facility consent for restraints form for Resident #11, dated 5/20/15, lists the self releasing seat belt as a type of restraint to be used. The consent form was signed by Resident #11's responsible party and two (2) witnesses. The Plan of Care Kardex for Resident #11, dated (MONTH) (YEAR), revealed, under the title of restraints, the self release seat belt. The manufacturer's guidelines for the seat belt revealed, Product is not intended to be used as a restraint .Seat belts are not considered to be restraints as long as the individual is capable of releasing the closures themselves. The facility admitted Resident #11 on 5/19/15 with [DIAGNOSES REDACTED]. A review of the Quarterly Minimum Data Sheet (MDS) with an Assessment Reference Date (ARD) of 1/31/16, revealed a Brief Interview of Mental Status (BIMS) score of one (1), indicating that Resident #11 had severely impaired cognition.	2020-09-01