cms_ND: 72

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

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
72	MINOT HEALTH AND REHAB, LLC	355031	600 S MAIN ST	MINOT	ND	58701	2018-08-16	550	E	0	1	B0I611	Based on observation and staff interview, the facility failed to provide care for 6 of 18 sampled residents (Resident #6, #8, #14, #15, #35, and #46) in a manner and environment that maintained, enhanced, and respected each resident's dignity and individuality. Failure to speak respectfully, knock on doors/announce themselves, and wait for permission prior to entering residents' rooms, does not preserve the residents' personal dignity or enhance their quality of life and placed them at risk of embarrassment and/or emotional harm. Findings include: The facility failed to provide a policy regarding dignity per request. Observations on 08/14/18 showed the following: * At 9:52 a.m., two certified nursing assistants (CNAs) (#8 and #9) entered Resident #35's room to provide personal cares. A third unidentified CNA entered the room without knocking, and addressed the other two CNAs before exiting the room. The staff member failed to knock /announce herself and/or wait for permission to enter. * At 11:40 a.m., an unidentified CNA assisted Resident #14 to the bathroom. The CNA left the bathroom door wide open and failed to pull the privacy curtain between the bathroom and Resident #6's side of the room while she sat in the wheelchair facing bathroom. The CNA assisted Resident #14 with cares, then opened door for Resident #6 to leave the room while Resident #14 remained in bathroom. * At 4:20 p.m., observation showed Resident #46 seated in a wheel chair beside her bed with her call light sounding. Observation revealed a large brown stain approximately 6 by 8 inches on a white sheet covering the center of the bed. A CNA (#23) responded to call light, transferred the resident to her bed onto the soiled sheet, changed her brief, and left the room. A second CNA (#11) entered and transferred the resident back to her wheel chair, then changed the soiled sheet. During an interview on 08/15/28 at 2:30 p.m. two administrative nurses (#16 and #17) confirmed staff should have changed the sheet on Resident #46's bed at the time it became soiled. Observations on 08/15/18 showed the following: * At 9:11 a.m., two CNAs (#10 and #11) entered Resident #35's room to provide personal cares. A third unidentified CNA knocked on the door as she entered the room, and asked to use the mechanical lift before exiting the room. The staff member failed to announce herself and/or wait for permission to enter. * At 3:59 p.m., Resident #8 sat on the commode next to her bed drinking coffee and holding a cookie. She told the CNA (#4), who was washing his hands in the sink in her room, that she had a bowel movement. An unidentified CNA opened the door to Resident #8's room and said, Knock. Knock. She spoke briefly to the other CNA (#4) before exiting the room. A few minutes later, an unidentified nurse opened the door to Resident #8's room, saw the surveyor, and backed out of the room. Two staff members failed to knock/announce themselves and/or wait for permission to enter. * At 4:19 p.m., two CNAs (#4 and #7) entered Resident #15's room to provide personal cares. One of the CNAs (#4) walked over to the resident, who was lying in bed, and stated, We are going to change your diaper. I'm going to change your diaper right quick, so we can get you up for dinner. As the two CNAs (#4 and #7) performed pericares, a third CNA knocked on the door to Resident #15's room, entered, and asked his coworkers how they were doing. After transferring the resident to her wheel chair, the second CNA (#7) asked Resident #15 if she wanted her blankie or a drink of water. One staff member failed to knock/announce himself and/or wait for permission to enter, and two staff members failed to address the resident with age-appropriate terminology.	2020-09-01