cms_SD: 36

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

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rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
36	MONUMENT HEALTH CUSTER CARE CENTER	435032	1065 MONTGOMERY ST	CUSTER	SD	57730	2019-03-13	690	D	0	1	0JC611	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the provider failed to ensure one of one sampled resident (41) was provided the opportunity to maintain or improve her bladder and bowel continence. Findings include: 1. Observation on 3/12/19 from 7:50 a.m. through 8:55 a.m. of resident 41 during personal care and a full lift transfer revealed: She had previously received perineal care and her incontinent brief had been changed. Certified nursing assistant (CNA) G came into the room and checked to see if the resident had been incontinent after approximately one-half hour. She told CNA G she had not urinated since her brief had been changed. CNA G had not offered her a chance to use a bedpan, commode, or the bathroom. Review of resident 41's medical record revealed: She had a urinary catheter from 4/27/18 through 11/1/18 when it was discontinued. A voiding trial to check post-void residuals was conducted from 11/1/18 through 1/7/19. Review of resident 41's 11/6/18 care plan for her activities of daily living revealed: Focus: I have a history [MEDICAL CONDITION] and my left side is flaccid. I am not able to complete my daily care activities and I need your assistance. Goal: I will complete my daily care activities by accepting your assistance through my next review date. Interventions included: -TOILET USE: I need extensive assist to perform toileting activities. My foley catheter has been removed to see if I can tolerate/urinate w/o (without) it. I am sometimes incontinent. I need you to perform bladder scans post void until it can be determined that I am adequately voiding. I am continent of bowel. -TRANSFERS: I am dependent upon staff to transfer me using a Hoyer lift. Review of resident 41's Minimum Data Set (MDS) quarterly reviews completed on the following revealed: 11/1/18: Required extensive assistance of one staff for transfers and toilet use. -She had a urinary catheter and was continent of bowel. 2/1/19: Required extensive assistance of two staff for transfers and toilet use. -She did not have a urinary catheter and was frequently incontinent of bladder and bowel. Interview on 3/12/19 at 8:53 a.m. with CNA G revealed resident 41 was not able to use the toilet or commode due to her using a full lift. She stated she previously used the toilet when she had been transferred with the standing lift. Interview on 3/13/19 at 10:40 a.m. with CNA I stated resident 41 did not use the commode or the toilet. She would have been able to transfer her with a toileting lift sling if there was one available. She stated she was not sure if the resident would have been able to maintain her balance when sitting on the commode. Interview on 3/13/19 at 1:30 p.m. with the MDS coordinator revealed no bowel and bladder assessments were completed to determine if a resident would have been appropriate for a bowel and/or bladder training program. Interview on 3/13/19 at 2:00 p.m. with the director of nursing revealed resident 41 had not been: Assessed for a toileting program. *Given the opportunity to have remained continent when her transfer method had been changed.	2020-09-01