cms_ND: 77

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
77 MINOT HEALTH AND REHAB, LLC 355031 600 S MAIN ST MINOT ND 58701 2018-08-16 641 D 0 1 B0I611 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.15), and staff interview, the facility failed to ensure accurate coding of Minimum Data Sets (MDSs) for 2 of 18 sampled residents (Resident #6 and #46). Failure to accurately complete Section N (Medications) and Section O (Special Treatments, Procedures,and Programs) of the MDS does not allow each resident's assessment to reflect their current status/needs, and may affect the accurate development of a comprehensive care plan and the care provided to the residents. Findings include: SECTION N: Medication The Long-Term Care Facility RAI Manual, page N12 - N13, stated, . Coding Instructions for N0450A: Code 0, no: if antipsychotic were not received . Code 1, yes: if antipsychotic's were received on a routine basis only: Continue to N0450B, Has a GDR (gradual dose reduction) been attempted? . Code 0, no: if a GDR has not been attempted. Skip to N0450D, Physician documented GDR as clinically contraindicated. Code 1, yes: if GDR has been attempted. Continue to N0450C, Date of last attempted GDR. - Review of Resident #6's medical record occurred on all days of survey and identified a physician's orders [REDACTED]. Review of the (MONTH) Medication Administration Record [REDACTED]. The record also showed the physician rejected a GDR in (MONTH) (YEAR) for the Quetiapine. The quarterly MDS, dated [DATE], failed to identify the use of an antipsychotic. Failure to identify antipsychotic use resulted in the system not triggering staff to identify the physician's rejection of a GDR in (MONTH) (YEAR). During an interview on 08/15/18 at 3:21 p.m., an administrative staff member (#18) confirmed she coded section N0450 incorrectly on Resident #6's 07/22/18 MDS. SECTION O 0100: Special Treatments, Procedures, and Programs The Long-Term Care Facility RAI Manual, page O-3, stated, . O 0100C Oxygen therapy, Code continuous or intermittent oxygen administered via mask, cannula, . delivered to a resident to relieve [MEDICAL CONDITION] (low oxygen in tissues) in this item. This item may be coded if the resident places or removes his/her own oxygen mask, cannula. - Resident #46's medical record, reviewed (MONTH) 14-16, (YEAR), identified a physician's orders [REDACTED]. Progress notes, dated 07/28/18 at 2:09 p.m. and 07/29/18 at 3:10 p.m. identified the resident receiving oxygen at 2 liters per minute via a nasal cannula. A quarterly MDS, dated [DATE], failed to identify oxygen use. During an interview on 08/16/18 10:30 a.m. an administrative nurse (#18) confirmed she should have coded Resident #46's oxygen use at O 0100C on the 07/29/18 MDS. 2020-09-01