cms_SD: 150

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
150	TEKAKWITHA LIVING CENTER	435038	6 E CHESTNUT	SISSETON	SD	57262	2017-11-28	610	E	1	0	QFLH11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on record review, interview, and policy review, the provider failed to thoroughly investigate falls for two of two sampled residents (1 and 4). Findings include: 1. Review of resident 1's 10/6/17 South Dakota Department of Health (SD DOH) event reporting form revealed: The fall had occurred at 4:30 a.m. The resident's wife had received a call at home from the resident asking her to contact the nurses in the facility, as he needed help. Staff received the call from the wife, and they found him sitting on the floor. Resident first stated he was sitting on his wheeled walker and fell asleep and woke up to falling onto the floor. Then later stated that he was trying to move his wheelchair to the hallway and fell . His left eye was swollen. His wife had taken him to the hospital where he was admitted for weakness, [MEDICAL CONDITION], and fall with periorbital hematoma. They will encourage resident to utilize his wheelchair (if still appropriate) and walker and not to walk on his own. Will keep call light in reach and make sure his cell phone is on his person, so if not within call light reach able to make contact with staff or wife. The administrator's name had been on the final investigation conclusionary summary. There had been no documentation regarding the following investigation areas: -Interviews conducted with the wife or staff members who had been working. -Where the call light had been located. -The last time he had been checked on. -What level of assistance he required. -If the care plan had been followed. -What the environment looked like upon entering the room. -If he had been assisted to bed and who last worked with him. -If there had been any medication changes. 2. Review of resident 4's 11/19/17 South Dakota Department of Health (SD DOH) event reporting form revealed: The fall had occurred at 11:30 a.m. Resident prone on floor beside tipped recliner. He had complained of pain to his left eye brow where an abrasion had been noted. Extensive assist of 2 to stand and transfer to bed. Resident moved closer to the nursing station and is reminded to use call light for assistance of which his dementia keeps him from remembering this. The administrator's name had been on the final investigation conclusionary summary. There had been no documentation regarding the following investigation areas: -Interviews conducted with the staff members who had been working. -Where the call light had been located. -The last time he had been checked on. -If the care plan had been followed. -Why the recliner would have tipped over. -If there had been any medication changes. 3. Interview on 11/28/17 at 4:00 p.m. with the administrator and the director of nursing revealed there had been no further documentation regarding the above incidents and the investigations. Review of the provider's undated How to Conduct an Investigation policy revealed: The investigation should have included: -Who. -What. -When. -Where. -How. Documentation is needed to reflect that the standard of care was met. *Any event that is not consistent with the routine care of the resident is worthy of investigation.	2020-09-01