cms_MS: 49

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
49 BOYINGTON HEALTH AND REHABILITATION 255092 1530 BROAD AVE GULFPORT MS 39501 2019-03-08 640 D 0 1 M3XR11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, facility statement review, and staff interview, the facility failed to submit the Minimum Data Set (MDS) assessment within seven (7) days after completion of Resident #67's MDS assessment. This concern was identified for one (1) of 31 MDS assessments reviewed. Findings include: Review of a typed statement on the facility's letterhead, dated 03/08/19 and signed by the Administrator, revealed: The Boyington Health and Rehabilitation utilizes the RAI (Resident Assessment Instrument) manual for MDS (Minimum Data Set) assessments and guidelines for completion of MDS. Record review revealed Resident #67 was admitted by the facility on 10/13/18, and was discharged on [DATE]. Resident #67 had a one (1) day stay at facility. Review of the Casper Report revealed the MDS, with the target date of 10/14/18, was not submitted and accepted until 1/31/19. An interview, on 03/08/19 at 9:12 AM, revealed RN #1 stated, I saw that it was late when I returned from maternity leave. RN #4 did the assessment while I was out and she closed it, but did not lock it. I saw it and transmitted it 120 days late. I use the RAI manual for coding the MDS. An Interview, on 03/08/19 at 9:06 AM, with the Director of Nursing (DON) revealed the MDS assessment was submitted late. The DON stated it was identified, corrected, and we put it on our Quality Assessment and Assurance Concern (QAPI). The DON stated Registered Nurse (RN) #4 was filling in for RN #1 due to our regular MDS Nurse was on maternity leave. The DON stated RN #4 did the assessment, but failed to lock it in, and when RN #1 returned to work she found the error and corrected it by submitting the assessment. We knew it was late, but we submitted it anyway. An interview, on 03/08/19 with 9:15 AM, revealed RN #4 stated, I was doing MDS while RN #1 was out on maternity leave and I didn't lock the assessment. I guess I just over looked it somehow. 2020-09-01