cms_MS: 93

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
93 THE PILLARS OF BILOXI 255093 2279 ATKINSON ROAD BILOXI MS 39531 2019-05-15 684 D 0 1 0E0S11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, review of facility policies, and interview, the facility failed to ensure a resident with a [DIAGNOSES REDACTED].#102, in a sample of 24 residents. This had the potential to cause a delay and/or alteration in treatment for [REDACTED]. Findings include: Review of a facility policy, titled Weights; Obtaining and Documenting, dated 12/27/17, revealed .Timing of Weights: 1. Daily; Daily weights should be done if ordered by the physician . Record review of Resident #102's admission Minimum Data Set (MDS) assessment, dated 4/25/19, revealed the resident was readmitted to the facility on that date after an acute hospitalization . The MDS revealed in Section I the resident had [DIAGNOSES REDACTED]. An observation of Resident #102 on 5/13/19 at 9:38 AM, revealed the resident was lying in bed, in her room. Her hands and arms were observed to be [MEDICAL CONDITION] (swollen). During an interview on 5/13/19 at 9:41 AM, Registered Nurse (RN) #2 stated the resident had gone to the hospital recently, and had been [MEDICAL CONDITION] since she came back. Review of the Progress Notes, dated 5/02/19, revealed the Nurse Practitioner assessment, . Chief complaint [MEDICAL CONDITION], inadequate diuresis .resident with recent hospitalization .while admitted had [MEDICAL CONDITION] and put on #30 fluid at the time of discharge. I started her on [MEDICATION NAME] (a diuretic) 40 daily, increasing it to bid (twice a day), she has only lost #3 (pounds) . Plan: D/c (discontinue) [MEDICATION NAME] 40 bid, [MEDICATION NAME] (a diuretic) 1 mg(milligram) one po bid, daily weights . Review of the resident's physician's orders [REDACTED].Daily weight one time a day for fluid retention . Review of the resident's Daily Weight record revealed the resident's weight on 5/03/19 was 197 pounds. There was a lack of documentation of the resident's daily weights for 5/04/19, 5/05/19, and 5/06/19. Review of Resident #102's care plans, dated 8/17/18, revealed I am on diuretic therapy r/t (related to) [MEDICAL CONDITION] .Obtain weight as ordered .I have altered cardiovascular status r/t .HF (Heart Failure) .observe/document/report PRN (as needed) any s/sx (signs and symptoms) of [MEDICAL CONDITION]: [MEDICAL CONDITION] .weight gain . During an interview on 5/14/19 at 1:50 PM, Certified Nursing Assistant (CNA) #5 stated she was a restorative CNA and they were responsible for the daily weights. She stated she weighed the resident on 5/03/19, and at that time the resident was on weekly weights, she was not aware the resident had been put on daily weights until 5/07/19. During an interview on 5/14/19 at 4:00 PM, RN #1, stated she had worked on 5/04/19, 5/05/19 and 5/06/19. She stated she had notified the Director of Nursing (DON) on 5/06/19, that the weights had not been done. The DON had told her to notify the restorative CNA to do the daily weights. 2020-09-01