cms_ND: 50

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
50 MINOT HEALTH AND REHAB, LLC 355031 600 S MAIN ST MINOT ND 58701 2019-06-11 585 E 1 0 HFFF11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on information provided by the complainant, observations, review of Resident Council Meeting minutes, review of facility policy, and resident interviews, the facility failed to provide reasonable accommodation of needs regarding call lights for 6 of 16 confidential and/or sampled residents (Resident A, B, C, #5, #6, and #7). Failure to place call lights within the residents' reach and/or respond to the call lights in a timely manner does not allow residents to request/obtain assistance and may result in avoidable incontinence/falls, increased behaviors, and/or a decreased quality of life. Findings include: Information provided by the complainants indicated nursing staff failed to respond to call lights in a timely manner (waiting up to 55 minutes) resulting in residents and/or family members searching the halls for staff and indicated they found call lights that were not functioning properly. Review of the facility policy titled Call Light, Use of occurred on 06/10/19. This policy, dated (MONTH) (YEAR), stated, . Answer ALL call lights promptly whether or not you are assigned to the resident . Never make the resident feel you are too busy to give assistance. Offer further assistance before you leave the room. When providing care to resident, be sure to position the call light conveniently for the resident to use. Be sure all call lights are placed on the bed at all times, never on the floor or bedside stand. Review of Resident Council Meeting minutes, dated (MONTH) 22-May 23, 2019, occurred on 06/07/19. The meeting minutes identified the following concerns were discussed with the facility: * 03/22/19, . Call lights taking long to be answered . * 04/25/19, . Call lights around meal times taking a long time . * 05/23/19, . Call light times in general . Random interviews identified the following: * 06/05/19 at 12:05 p.m., resident (A) stated, I've had to wait up to 45 minutes for someone to answer my light. * 06/05/19 at 1:30 p.m., resident (B) stated, I've waited up to an hour for help. * 06/05/19 at 1:40 p.m., resident (C) said he/she has had to wait 15 minutes-to-one hour for someone to answer the light. - Review of Resident #6's medical record occurred on all days of survey. [DIAGNOSES REDACTED]. The current care plan stated, . Resident is at risk for falls r/t (related to) Decondition/weakness . Encourage the Resident to always call for assistance. Observation on 06/04/19 at 11:00 a.m. and 06/05/19 at 11:15 a.m. showed Resident #6 asleep on his bed. Observation showed the call light clipped to the cord, hanging on the wall out of reach of the resident. - Review of Resident #5's medical record occurred on all days of survey. A progress note, dated 05/08/19 at 7:45 p.m., stated, This nurse was alerted by CNA (certified nurse aide) at (7:30 p.m.) that resident was found lying on the floor near his bed. This nurse went to go assess the situation and found resident lying on the floor near the foot of his bed on his left side. Resident had shoes and socks on. The wheelchair was three feet away. Call light was on. This nurse asked resident what happened, resident said, I'm tired of waiting, I've been waiting 30 minutes so I tried putting myself to bed. - Review of Resident # 7's medical record occurred all days of survey. A progress note, dated 05/12/19 at 7:28 a.m., stated, CNA found resident in bed at 640 AM when she screamed for help. Found blood all over her face and holding a baseball size blood clot in her hand. Resident stated to CNA that she had been screaming for help for a while during early morning. Found call-light clipped onto curtain out of reach from resident. Immediately called 911 and informed ER (emergency room ). Resident is alert and slightly confused. Refer to F689 and F690. 2020-09-01