cms_MS: 17

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
17	WINSTON COUNTY NURSING HOME	255072	17560 EAST MAIN STREET	LOUISVILLE	MS	39339	2016-02-24	252	E	0	1	MMRK11	Based on observation, staff interview, resident interview, and record review, the facility failed to (a) ensure a resident's wheelchair was maintained in good repair for one (1) of seven (7) sampled residents who utilized a wheelchair for locomotion and (b) ensure foam padding placed on resident beds was maintained in good repair for seven (7) of eight (8) beds with foam padding attached to side rails. Findings Include: On 02/24/16 at 11:45 AM, the Director of Nursing (DON) stated the facility did not have a policy related to the maintenance or repair of resident wheelchairs or foam padding secured to resident bed side rails. Observations on environmental tours of the facility on 02/22/16 from 10:30 AM to 11:40 AM and 02/23/16 from 9:30 AM to 10:00 AM revealed eight (8) beds identified to have gray foam attached to side rails secured with black electrical tape. Of the eight beds identified with foam attached, seven had torn, ripped foam including the A beds in Rooms 11, 14, 17, 23, the A and B beds in room 39, and the A bed in room 48. An observation and interview with Resident #12 on 02/23/16 at 11:25 AM revealed the resident was seated in his room in his wheelchair. The end of the left arm of the wheelchair was broken off and underlying cushion was exposed. The resident stated the arm had been broken for at least a month and he had reported it to staff. Resident #12, who is blind, stated he was unsure who he reported it to. Resident #12 stated the footrest was [NAME]ed up too; demonstrating that the right foot rest when pulled up would not stay up, but flopped back down making it difficult for resident to rise when transferring. An interview on 02/23/16 and 11:15 AM with Maintenance Staff #1 (MS #1) revealed the maintenance staff did rounds in the facility daily. Each of the two nurses' stations (B hall and C hall) had a work order book that the nurses or Director of Nursing (DON) would write work requests in for repair or maintenance. Wheelchair arm replacements or foam attached to side rails would be requested for repair or maintenance. MS #1 did not recall any orders to replace or put on foam on side rails in the past couple of months. MS #1 did not recall any requests regarding wheelchairs in the past month. A review of the work order log revealed there was no work order to repair Resident #12's wheelchair over the past two months. There were also no work orders to replace or repair foam padding attached to bedrails. An interview on 02/23/16 at 11:45 AM with Registered Nurse (RN) #1 on the C Hall revealed she was not aware of any wheelchair or foam on side rails to be in need of repair. RN #1 stated if repairs were needed it would be reported to her or any other nurse on the floor to write in the maintenance work order book and a maintenance worker would review the book to see what needed repair. An interview on 02/23/16 at 2:30 PM with RN #2 on the B Hall revealed she had not been notified of any foam on side rails in need of repair and had not noticed any foam on side rails in need of repair. An interview on 02/23/16 at 3:00 PM with Certified Nurse Assistant (CNA) #4 revealed she had not noticed any problems with wheelchairs or foam on side rails but would report to nurse if she had seen. An interview on 02/23/16 at 3:10 PM with CNA #3 revealed she had not noticed any problems with wheelchairs or foam on side rails. An environmental tour and interview on 02/23/16 at 2:45 PM with the Director of Maintenance (DOM) of the facility revealed confirmation of torn, ripped foam attached to side rails in rooms 11, 14, 17, 23, 39, and 48. The broken wheelchair arm and footrest of Resident #12's wheelchair was also confirmed. The DOM stated that the foam attached to side rails and the wheelchair in need of repair should have been reported to maintenance and had not been. An interview on 02/24/16 at 9:30 AM with the Director of Nurses (DON) and the Administrator revealed that neither was aware of the foam being in disrepair on side rails of resident beds or the wheelchair being in need of repair for Resident #12. The DON stated the floor nurses were to write work orders as repair needs were identified. An interview on 02/24/16 at 9:45 AM with CNA #5 revealed she had seen that Resident #12's wheelchair was in need of repair. She acknowledged it had a broken left arm and the right footrest would not stay up when pulled up. CNA #5 stated she notified the nurses when she saw it and they should have written a work order to have it fixed. CNA #5 declined to identify the nurses she reported to. An interview on 02/24/16 at 9:50 AM with Licensed Practical Nurse (LPN) #2 revealed she had not been notified and had not noticed any problems with Resident #12's wheelchair or foam on side rails of resident beds.	2020-09-01