cms_SD: 7

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
7	PRAIRIE HEIGHTS HEALTHCARE	435004	400 8TH AVENUE NW	ABERDEEN	SD	57401	2019-06-26	679	D	0	1	9U2F11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and policy review, the provider failed to ensure one of two sampled residents (47) had individualized and meaningful activities offered and documented. Findings include: 1. Review of resident 47's 12/14/18 annual Minimum Data Set assessment revealed: She was admitted on [DATE]. Her Brief Interview for Mental Status assessment score was an eleven, indicating her cognition was moderately impaired. She nor her family could be interviewed regarding her preferences. The staff assessment of preferences was completed and revealed her preferences were: -Reading books or magazines. -Listening to music. -Being around animals. -Doing things in groups. -Participating in her favorite activities. -Spending time outdoors. Interview with resident 47 on 6/24/19 at 4:13 p.m. revealed: She laid in her bed and watched TV during the day. She liked to go to BINGO. Observations of resident 47 on 6/24/19 from 4:10 p.m through 7:15 p.m., on 6/25/19 from 7:30 a.m. through 6:45 p.m., and on 6/26/19 from 7:30 a.m. through 3:00 p.m. revealed: She was in her room in her bed. She was in her room in her wheelchair. -Her TV was on at times. She went to the dining room for meals. Review of resident 47's 6/25/19 care plan revealed: She was receptive to: -Music. -Special events. -BINGO. -Manicures. -Visiting with staff. -Volunteers. -Pet visits. -Watching TV, specifically channel 25. Review of resident 47's activity logs revealed: In (MONTH) 2019 she was not offered activities eleven of thirty days. -On four other days she was only offered the leisure cart and refused it. In (MONTH) 2019 she was not offered activities on eight of thirty-one days. -On five other days she was only offered the leisure cart and refused it. In (MONTH) 2019 she had not been offered activities twelve out of twenty-five days. -On six other days she had only been offered leisure cart and refused it. Interview on 6/26/19 at 9:14 a.m. with the activity director revealed: The leisure cart served a dual purpose that was to promote hydration and one-to-one visits with residents. There was no set amount of time she spent with residents. If residents needed assistance with hydration she could spend up to ten minutes in the room. There was no assessment for determining resident needs for activities. There was no criteria for one-to-one visits. Resident 47 went to music activities and stayed in her room. She indicated resident 47 was visited weekly by a dog that came to the facility. -Documentation showed she was visited by the dog one of four weeks in April, three of four weeks in May, and zero of four weeks in June. -She agreed it should have been documented when activities were refused. Review of the provider's undated Activity Programs policy revealed: Activity programs designed to meet the needs of each resident are available on a daily basis. Review of the provider's undated Individual Activities and Room Visits Program policy revealed: Individual activities will be provided for those residents whose situation or condition prevents participation in other types of activities, and for those residents who do not wish to attend group activities. Typically a room visit is ten to fifteen minutes in length. Review of the provider's (YEAR) Charting and Documentation policy revealed: All services provided to the resident, progress towards care plan goals, or any changes in the resident's medical, physical, functional or psychosocial condition, shall be documented in the resident's medical record.	2020-09-01