cms_ND: 68

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
68	MINOT HEALTH AND REHAB, LLC	355031	600 S MAIN ST	MINOT	ND	58701	2017-07-26	323	D	0	1	GH6U11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff interview, the facility failed to ensure adequate supervision and assistive devices to prevent accidents for 1 of 2 sampled residents (Resident #4) who required extensive assistance with transfers using a mechanical lift. Failure to use the proper transfer lift sling and provide adequate supervision with transfers/cares placed the resident at risk for sustaining a fall or injury. Findings include: Review of Resident #4's medical record occurred on all days of survey. Medical [DIAGNOSES REDACTED]. The significant change Minimum Data Set (MDS), dated [DATE], identified severely impaired cognition and extensive assistance of two for transfers. Review of the physical therapy plan of care, dated 06/29/17, identified, . Transfers, Bed/Chair . total assist (100%) . The current care plan identified, . Pathological fracture right . femur . NWB (nonweight bearing) to right leg . Transfer with full body sling and full mechanical lift and two staff. Use care with moving right leg. Immobilizer to remain in place at all times . Review of the certified nursing assistants (CNA's) kardex, dated 07/26/17, identified, . transfer with full body sling and full mechanical lift and two staff. Use care with moving right leg. Immobilizer to remain in place at all times. Observation on 07/24/17 at 3:10 p.m., showed two CNAs (#8 and #9) entered Resident #4's room, completed cares and placed a partial lift sling underneath her. The CNA (#9) pulled Resident #4's right leg outward to the side while she lay in bed. The resident yelled out, ouch ouch, when the CNA (#9) pulled the transfer sling straps up between her legs. The CNA (#8) raised Resident #4 up off the bed with the mechanical lift. Resident #4's right leg hung down with the immobilizer on it and she yelled out, ouch ouch, as the CNA (#9) lowered her down into the wheel chair/recliner. The facility staff failed to transfer Resident #4 with the full body sling and support the right leg during the transfer. Observation on 07/25/17 at 8:05 a.m., showed two CNAs (#10 and #11) placed a partial lift sling underneath Resident #4 and transferred her from the bed to the reclining wheel chair with a mechanical lift. During the transfer, the resident grimaced and moaned aloud. The CNA (#11) stated, I think we used the wrong lift sheet on this resident. The CNA (#11) left the room and returned with a full body lift sling. The CNAs (#10 and #11) transferred Resident #4 from the reclining wheel chair back to the bed with the partial lift sling mechanical lift and her right leg hung down with the immobilizer on. The facility staff failed to transfer Resident #4 with the proper lift sling and support the right leg during the transfer. During an interview on 07/25/17 at 8:30 a.m., a CNA (#11) verified Resident #4 should be transferred with the full body lift sling to keep her legs together and support provided to the right fractured leg. During an interview on 07/26/17 at 2:00 p.m., an administrative staff member (#3) verified Resident #4 should be transferred with a full body lift sling.	2020-09-01