cms_SD: 2134

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.

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
2134	SD HUMAN SERVICES CENTER - GERIATRIC PROGRAM	43A067	3515 BROADWAY AVE POST OFFICE BOX 7600	YANKTON	SD	57078	2015-12-02	221	E	0	1	07B711	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and policy review, the provider failed to assess three of three sampled residents (1, 3, and 10) for the use of a back closing one-piece outfit. Findings include: 1. Review of resident 3's medical record revealed: [DIAGNOSES REDACTED]. A 10/8/15 physician's orders [REDACTED]. His 11/12/15 care plan had an intervention of (MONTH) wear one-piece outfit prn (as needed) due to disrobing and voiding in inappropriate places. The (MONTH) personal care record revealed he wore the one-piece outfit twenty-nine out of ninety times. There was no initial or quarterly assessments for the use of the one-piece outfit. 2. Review of resident 10's medical record revealed: [DIAGNOSES REDACTED]. His 10/20/15 care plan had an intervention of One piece outfit all shifts. (Resident name) responds better if you call the one-piece outfit a coverall. The (MONTH) personal care record revealed he wore the one-piece outfit eighty-nine out of eighty-nine times. There was no initial or quarterly assessments for the use of the one-piece outfit. 3. Review of resident 1's medical record revealed: A [DIAGNOSES REDACTED]. A current signed physician's orders [REDACTED]. Current care plan intervention dated 4/30/15 (MONTH) use one-piece outfit for dignity AM and PM shifts. Night shift may put on at 4:30 am. No initial or quarterly assessments for use of the one-piece outfit for dignity. Interview on 12/2/15 at 1:30 p.m. with registered nurse (RN) J confirmed the night shift staff had dressed resident 1 in the one-piece outfit at 4:30 a.m. during final rounds. Day shift staff had removed the one-piece outfit on rounds about 6:30 a.m. when he had dressed for the day. The use in the early morning was to maintain his dignity and had kept him from getting bowel movement all over himself and his room. Surveyor 4. Interview on 12/1/15 at 2:15 p.m. with the director of nursing revealed they had not completed initial or quarterly assessments for the use of the one-piece outfits. Review of the provider's 6/1/15 Clothing Which Restricts Access to the Body policy revealed: Clothing which restricts access to the body may be used if comprehensive individualized assessment determines it is in the patient's best interests and will protect the patient's privacy and dignity. *A physician or registered nurse (RN) shall conduct a clinical assessment of the patient.	2019-04-01