cms_ND: 41

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.

This data as json, copyable

rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
41 THE MEADOWS ON UNIVERSITY 355024 1315 S UNIVERSITY DR FARGO ND 58103 2018-12-06 657 D 1 0 PNS511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > THIS IS A REPEAT DEFICIENCY FROM THE SURVEY COMPLETED ON 06/28/18. Based on observation, record review, review of facility policy, and staff interview, the facility failed to review and revise comprehensive care plans to reflect the resident's current status for 1 of 10 sampled residents (Resident #10). Failure to review/revise care plans to reflect each resident's current status limited the staffs' ability to communicate needs and ensure continuity of care for the residents. Findings include: The facility failed to provide a copy of their policy addressing resident care plans upon request. Review of the facility's policy titled Weight Assessment and Intervention occurred on 12/06/18. This policy, dated (YEAR), stated, . (Careplanned) Interventions for undesirable weight loss shall be based on careful consideration of . Resident choice and preferences . The use of supplementation . Review of Resident #10's medical record occurred on all days of survey. The record identified a [DIAGNOSES REDACTED]. - Resident #10's bathing record identified an initial bath on 11/26/18 (eight days post admission to the facility). The current care plan stated, . Focus: Resident has a potential for self care deficits . Interventions: . Assist resident with activities he/she is unable to perform independently. Encourage patient to perform minimal oral-facial hygiene as soon after rising as possible. Assist with brushing teeth and shaving, as needed. Resident #10's current care plan failed to address her bathing needs. - Resident #10's physician's orders [REDACTED]. Apply to rectum topically BID (twice daily). Donut cushion to minimize perineal discomfort with sitting. The current care plan stated, . Focus: Skin integrity impaired: redness to perineum area secondary to diarrhea r/t (related/to) [MEDICAL CONDITION] . Interventions: Maintaining clean, dry skin provides a barrier to infection. [NAME]ng skin dry instead of rubbing reduces risk of dermal trauma to fragile skin. Monitor for s/s (signs/symptoms) of infection . Notify MD (medical doctor) as needed. The care plan failed to reflect Resident #10's need for a physician-prescribed barrier cream and/or a pressure relieving device. - Resident #10's Nutritional Assessment, dated 11/20/18, identified, . Other Food Likes/dislikes . Does not drink milk. The facility provided a copy of Resident #10's current snack schedule. The schedule identified, Dislikes . Wheat Bread . Pancakes . and . All Days (receives) . Boost Vanilla Observations on (MONTH) 5-6, (YEAR) showed dietary staff placed milk on Resident #10's meal trays. Resident #10 did not drink the milk, and made several comments regarding her food preferences. The current care plan identified, . Focus: Potential for or presence of altered nutrition needs related to . selective food preferences, unwillingness to accept nutritional supplements . Interventions: Encourage food and fluid intake . Snacks provided as scheduled . The care plan failed to reflect Resident #10's choices/preferences and/or supplementation as specified in the facility's policy. During an interview on 12/06/18 at 1:30 p.m., when asked questions pertaining to Resident #10's care plan, an administrative nurse (#1) confirmed staff failed to revise her care plan to include her bathing needs, physician-prescribed barrier cream and/or a pressure relieving device, and food choices/preferences and/or supplementation as specified in the facility's policy. 2020-09-01