cms_SD: 56

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
56	MONUMENT HEALTH CUSTER CARE CENTER	435032	1065 MONTGOMERY ST	CUSTER	SD	57730	2018-09-13	849	D	0	1	YYKW11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and hospice agreement review, the provider failed to ensure one of one sampled resident (50) who received Hospice services had Hospice integrated into the resident's care plan. Findings include: 1. Review of resident 50's 7/9/18 Minimum Data Set (MDS) assessment revealed: He had been admitted on [DATE]. His [DIAGNOSES REDACTED]. He received hospice services. Review of resident 50's 7/16/18 care plan revealed: Focus: He had end stage adult T cell [MEDICAL CONDITION]. He was weak and confused and was on Hospice. -Interventions addressed all activities of daily living (ADL) that were to have been provided by facility staff. Focus: I have end [MEDICAL CONDITION]. I have tumors/[MEDICAL CONDITION] on my left rib cage. I am at risk for pain r/t (related to) this issue and end of life. I am on Hospice services. -Interventions addressed all medications to have been administered by the facility nurses. --There were no interventions addressing how Hospice was utilized in pain management. Focus: I have a psychosocial well-being problem r/t distractibility/inability to concentrate. End stage disease. -There were no interventions addressing how they would utilize Hospice in addressing psychosocial needs. Interview on 9/13/18 at 10:00 a.m. with the MDS coordinator revealed the care plan did not address what Hospice services was providing. Review of the provider's undated Comprehensive Care Plan policy revealed: An interdisciplinary comprehensive care plan that includes measurable objectives, goals and timetables to meet the resident's needs is developed by the Interdisciplinary Team (IDT) for each resident and reflects the resident's current status. Accurate and timely care planning is the roadmap for provision of quality care. It did not address Hospice specifically. Review of the undated Hospice Service Agreement revealed: Cooperation with Hospice Staff. Center shall cooperate with Hospice staff members in carrying out each Patient's P[NAME] (plan of care), including participation in Hospice's symptom control protocols. Center shall make Center staff members available for participation in interdisciplinary group conferences as needed to coordinate the care of Patients and participate in quality assurance activities conducted by Hospice.	2020-09-01