cms_MS: 30

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
30	LEXINGTON MANOR SENIOR CARE, LLC	255091	56 ROCKPORT ROAD	LEXINGTON	MS	39095	2017-06-28	280	D	0	1	YQ7Y11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview and the facility policy review, the facility failed to revise the comprehensive care plans as evidenced by omission of heel protectors, as ordered by the physician to prevent possible skin breakdown, for one (1) of nine (9) resident records reviewed (Resident #4). Findings include: Review of the facility's Comprehensive Care Plan policy, revised 2/2017, revealed: The comprehensive care plan will be reviewed and revised by the interdisciplinary team after each comprehensive and quarterly MDS (Minimum Data Set) assessment. Review of the facility's Pressure Injury Prevention policy, dated 04/2017, revealed, To prevent the formation of avoidable pressure injuries, interventions will be documented in the care plan and communicated to all relevant staff. Review of the comprehensive care plans, potential for skin breakdown and self care deficit, dated 5/9/17, did not include applying heel protectors to Resident #4 while in bed. Observation of Resident #4 on 6/26/17 at 1:50 PM, revealed the resident did not have heel protectors while in bed. Review of Resident #4's (MONTH) 2014 physician's orders [REDACTED]. On 06/26/17 at 2:55 PM, an interview with Registered Nurse (RN) #1 revealed, I do the care plans. The heel protectors should have been on the care plans. Review of the facility's face sheet revealed, the facility admitted Resident #4 on 9/24/13. Resident #4's [DIAGNOSES REDACTED]. Review of Annual Minimum Data Set with an Assessment Reference Date of 05/09/17, revealed Resident #4 had a brief Interview of Mental status (BIMS) score of 6, indicating the resident had severely impaired cognition.	2020-09-01