cms_MS: 87

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
87 THE PILLARS OF BILOXI 255093 2279 ATKINSON ROAD BILOXI MS 39531 2019-05-15 641 D 0 1 0E0S11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to ensure Minimum Data Set (MDS) Assessments were completed accurately for two (2) Residents, Resident #112 and Resident #122, of 26 Residents reviewed for MDS accuracy. Specifically, the facility failed to accurately assess Resident #112's fall status and Resident #122's discharge status. Findings include: Review of an undated, written statement provided by the facility MDS Consultant documented, The Pillars of Biloxi does not have a policy for MDS coding, but it is expected that the RAI (Resident Assessment Instrument) manual is followed when coding resident MDS assessments. Resident #112 Review of Resident #112's admission MDS assessment, dated 4/26/19, revealed the resident had been admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. The MDS documented the resident had not had any falls in the last month prior to admission. Review of an Admission History and Physical, dated 4/16/19, revealed .The patient fell and broke her right wrist on 4/2/19 . During an interview on 5/15/19 at 11:31 AM, the MDS consultant stated the MDS was not coded correctly for the fall prior to admission. She stated the resident had a fall with fracture on 4/02/19, before being admitted to the facility. Resident #122 A closed record review for Resident #122 revealed the information provided in the discharge MDS assessment documented the resident was discharged to an acute care hospital from the facility on 3/15/19. However, a review of the discharge note, dated 3/15/19, and found in the medical record, revealed the resident was discharged to his/her home. The noted stated, Resident left the facility at 1500 (3:00 PM) via private automobile with family members present. During an interview, conducted on 5/15/19 at 5:25 PM, with the MDS Care Plan Coordinator (CPC), the MDS CPC confirmed the MDS discharge information for Resident #122 was coded incorrectly. MDS CPC did not provide an explanation for incorrect information, in the resident's record, but confirmed Resident #122 was discharged from the facility to his/her home with family. 2020-09-01