cms_MS: 64

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
64 BOYINGTON HEALTH AND REHABILITATION 255092 1530 BROAD AVE GULFPORT MS 39501 2017-11-16 315 D 0 1 212T11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, record review, and facility policy review, the facility failed to provide incontinent care to include the front perineal area, buttock and rectal areas, per policy, for one (1) of six (6) incontinent care observations. Findings included: A facility policy titled, Perineal Care, dated (MONTH) 2014, revealed the perineal care steps for a female resident would include to wipe the rectal area thoroughly, including the labia and the buttocks using the same technique as the perineal area. During an observation, on 11/15/17 at 9:45 AM, Certified Nursing Assistant (CNA) #1 and CNA #2 performed peri-care on Resident #9. CNA #1 completed care over the front of the resident's perineum. CNA #1 and CNA #2 did not clean Resident #9's buttocks or the sacrum. When interviewed, on 11/15/17 at 9:45 AM, CNA #1 said she had completed care on Resident #9 and said she thought the policy was to clean the buttocks or the sacrum if the resident had an incontinent bowel movement. CNA #1 said she had completed training that included a check off for perineum care. CNA #1 confirmed she only washed the front perineal area for Resident #9. During an interview, on 11/16/17 at 10:15 AM, Registered Nurse (RN) #2, Staff Development Nurse, said the training for incontinent care included complete care which included washing the front of the perineum and the buttocks and sacrum after each incontinence episode regardless of a bowel movement. During an interview, on 11/16/17 at 11:00 AM, the Director of Nursing (DON) confirmed the policy was to complete the peri-care, the front and the back because of the risk for skin breakdown, infection, and the resident may be still wet. A review of the facility's face sheet revealed the facility admitted Resident #9 on 04/21/13. Resident 9's [DIAGNOSES REDACTED]. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 08/12/17, revealed staff assessed Resident #9 with severely impaired cognition. 2020-09-01