cms_ND: 78

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
78 MINOT HEALTH AND REHAB, LLC 355031 600 S MAIN ST MINOT ND 58701 2018-08-16 644 D 0 1 B0I611 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, review of the North Dakota Provider Manual for Preadmission Screening and Resident Review (PASARR) and Level of Care Screening Procedures For Long Term Care Services, and staff interview, the facility failed to complete a status change assessment for 2 of 4 sampled residents (Resident #2 and #48) reviewed for PASARR requirements. Failure to complete a change in status assessment may result in the delivery of care and services that are inconsistent with residents' needs. Findings include: The North Dakota PASARR Provider Manual page 13 states, . Change in Status Process . Whenever the following events occur, nursing facility staff must contact Ascend (contracted service provider for screening process) to update the Level I screen for determination of whether a first time or updated Level II evaluation must be performed. These situations suggest that a significant change in status has occurred: . If an individual with MI, ID, and/or RC (mental illness, intellectual disability, and conditions related to intellectual disability (referred to in regulatory language as related conditions or RC)) was not identified at the Level I screen process, and that condition later emerged or was discovered. - Resident #2's medical record, reviewed (MONTH) 14-16, (YEAR), identified the facility admitted the resident on 11/13/10. The record identified a diagnoses of Unspecified [MEDICAL CONDITION], dated 02/24/10 and [MEDICAL CONDITION], dated 02/10/12. The record lacked evidence staff completed a Level I assessment at the time of her admission or an updated Level I assessment with the new [DIAGNOSES REDACTED]. During an interview on 08/15/18 at 10:15 a.m., an administrative nurse (#17) stated she was unable to provide information indicating staff had completed the admission PASARR or an updated assessment in 2012. - Resident #48's medical record, reviewed on (MONTH) 14-16, (YEAR), identified the facility admitted the resident on 10/19/15. A Level I PASARR, dated 09/03/15, stated It is reported he has no [DIAGNOSES REDACTED]. If there is a change of status it is the facilities (sic) responsibility to submit proper documentation and forms. Resident #48's record identified a new [DIAGNOSES REDACTED]. During an interview on 08/15/18 at 10:15 a.m. an administrative nurse (#17) stated she was unable to find additional information identifying staff had completed an updated Level I PASARR after the [MEDICAL CONDITION] diagnosis. During an interview on the afternoon of 08/15/18, a second administrative nurse (#16) provided information showing Resident #48 has had [DIAGNOSES REDACTED]. 2020-09-01