cms_MS: 99

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
99 THE PILLARS OF BILOXI 255093 2279 ATKINSON ROAD BILOXI MS 39531 2015-12-17 248 E 0 1 XQS711 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, resident interview, record review and facility policy review, the facility failed to conduct resident activities as scheduled on the male locked unit for one (1) of two (2) locked dementia units. Findings included: A review of the facility Policy Statement revealed, Activity programs designed to meet the needs of each resident are available on a daily basis and Activities are scheduled 7 (seven) days a week and resident are given an opportunity to contribute to the planning, preparation, conducting, cleanup and critique of the programs. A Review of the POS [REDACTED]. The facility had scheduled activity Whamo at 10:00 AM, Room Visit for 1:00 PM and Mourning Star Baptist Church at 2:00 PM for Wednesday, (MONTH) 16 . An observation on 12/15/15 from 8:30 AM until 10:30 AM of the male locked dementia unit revealed no activities were held. Observation during this time revealed the residents residing on the locked unit were seated in the day area with their heads down. The facility staff had a television tuned to cartoons. In an interview on 12/15/15 at 12:25 PM, Certified Nursing Assistant (CNA) #1 confirmed no activity had been held this morning and said, We used to have someone assigned to do activities but there has not been anyone lately. An observation on 12/15/15 at 2:30 PM revealed residents seated in the day area and a few residents walking in the hallway on the male locked unit. There was no activity (Bingo) held at this time as scheduled. In an interview on 12/15/15 at 2:50 PM Resident #9 said, We haven't played Bingo today; I enjoy it when we do play. An interview on 12/15/15 at 3:00 PM revealed CNA # 2 said the activities on the locked male unit were infrequent and no one was assigned to do activities on their unit. CNA # 2 said, It's like we have been forgotten. On 12/15/15 at 3:10 PM, an interview with the Activities Director revealed the activities department was short a staff member and due to the Christmas activities, the activities department had not been able to do the activities as scheduled on the calendar. Activity Director said occasionally a CNA would help but no certain CNA was assigned to assist. An observation on 12/16/15 at 10:25 AM revealed the residents on the male locked unit were not involved in any activities. The posted calendar revealed Whamo was scheduled for 10:00 AM on 12/16/15. In an interview on 12/16/15 at 12:40 PM, CNA #1 confirmed the activity scheduled for 10:00 AM (Whamo) had not been held on the male locked unit. An interview on 12/16/15 at 3:40 PM revealed Resident #24 said, If they played Bingo yesterday, I didn't get invited. An interview on 12/16/15 at 1:30 PM revealed Resident #24 said, There's not much to do back here; you know. I'd like to go to the casino sometimes. I don't get out much; Bingo sometimes but not much going on. I stay to myself but getting outside some would be nice. A review of the facility's face sheet revealed the facility admitted Resident #9 on 9/25/13. Review of the Minimum Data Set (MDS) with Assessment Reference Date (ARD) of 10/02/15 revealed Resident #9's Brief Interview for Mental Status (BIMS) score was 12 indicating Resident #24 had moderate cognitive impairment. A review of the facility's face sheet revealed the facility admitted Resident #24 on 11/10/14. Resident #24's [DIAGNOSES REDACTED]. Review of the Minimum Data Set (MDS) with Assessment Reference Date (ARD) of 10/16/15 revealed Resident #24's Brief Interview for Mental Status (BIMS) score was 13 indicating Resident #24 had no cognitive impairment. 2020-09-01