cms_SD: 78

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
78	ROLLING HILLS HEALTHCARE	435035	2200 13TH AVE	BELLE FOURCHE	SD	57717	2017-02-01	248	D	0	1	X0TZ11	Based on observation, record review, interview, and policy review, the provider failed to ensure activities were individualized for 2 of 13 sampled residents (3 and 13). Findings include: 1. Random observations on 1/31/17 from 9:15 a.m. through 11:50 a.m. of resident 3 revealed she had been in her room sitting in the recliner with her eyes closed. Observation on 1/31/17 from 3:00 p.m. through 3:30 p.m. of resident 3 revealed she was slouched in her wheelchair sitting by the nurses station. There had been no one talking with her. Review of resident 3's 11/24/16 Minimum Data Set assessment revealed: Her vision was moderately impaired. Her Brief Interview for Mental Status (BIMS) score was a three. -A score of zero through seven meant her thinking ability was severely impaired. It was very important for her to: -Have music. -Be around animals. -Keep up with the news. -Participate in group activities. -Do her favorite activities (none listed). -Go outside. -Participate in religious activities. Review of resident 3's current undated care plan revealed: A focus area: I enjoy some in room activities. -Interventions were: --I watch television in my room/open court/activity room daily. --I enjoy news, movies, game shows, and other desired programs. --Staff assist me to read mail I receive. --Staff provide me with 1:1 (one-to-one) visits PRN (as needed). A focus area: I enjoy some specific planned activities. -Interventions were: --I am provided with salon services as scheduled/desired. --I attend Christian life services as scheduled on Sunday. --I enjoy attending special events/music when scheduled. --I enjoy nailcare as scheduled/desired. --I enjoy participation in crafts as scheduled. --I enjoy socializing with other residents and staff throughout the day. --My family/friends visit for socialization. --Staff assist me with calling my daughter weekly. --Staff invite/escort me to games as scheduled. --Staff need to anticipate (resident name) needs d/t (due to) her poor vision and she may need help with her activity/craft. --Staff provide a monthly activity calendar in my room and assist me to review it as necessary. Review of resident 3's 1/1/17 through 1/31/17 activities participation records revealed she: Attended church two times. Had crafts one time. Had current events two times. Had hair appointments three times. There had been no one-to-one activities documented. Interview on 2/1/17 at 10:10 a.m. with the activities director regarding resident 3 revealed she was not aware of how to access her activity records. She stated they only did a one-to-one program with residents receiving hospice services. She agreed resident 3 had a visual impairment and was confused. She stated the resident would sometimes be brought to the group activities, but she did not participate. They had not provided individualized assistance during those group activities. Review of the provider's (MONTH) (YEAR) Providing Meaningful Activities Individual Programming policy revealed individual programming was to ensure all residents who were unable to participate in group programs had consistent, person centered, goal-oriented, and individualized recreation opportunities. 2. Observation at the noon and supper meals on 1/13/17 of resident 13 revealed he sat at a table by himself. Further observations on 1/13/17 from 8:00 a.m. until 5:30 p.m. revealed he had a room by himself, and spent most of his day in his room watching TV or laying on his bed. Review of resident 13's 12/14/16 Activities Interview for Customary and Routines assessment completed by the activity director revealed: It was very important for him to: -Have books, newspapers, and magazines to read. -List to music he liked. -Keep up with the news. -Do his favorite activities. -Get fresh air when the weather was nice. -To participate in religious services. Review of resident 13's printed 2/1/17 care plan revealed on 4/20/15: Focus: I show a need for mental stimulation, diversion, relaxation, and enjoy interaction with others as evidenced during interview. -Intervention: I enjoy socializing with other residents and staff during meals and activity events. --Staff invite/escort me to current events as scheduled. --Staff invite/escort me to special activity events as scheduled. Focus I enjoy some specific activities in open court, activity room and off unit. -Intervention: I enjoy attending Catholic mass/communion as scheduled on Wednesday. -I enjoy attending Christian Life Services as scheduled on Sunday. -I enjoy being involved in poker runs that are planned by the activity department. -Staff invite/escort me to group musicals as scheduled. Interview on 2/1/17 at 9:45 a.m. with the activity director regarding resident 13 revealed: There was a reason he did not have a roommate or tablemate. -He had chased off every tablemate he had, and they requested to be moved to another table. He liked staff and visited with them when he got to know them. He had not come to activities because his behavior was unpredictable. He would come to mass. -He liked church services and his family visits. He liked music activities but that was only offered one time per month. He did not like males and became aggressive towards them. He liked to go to Deadwood whenever that was scheduled, but that occurred mostly in the summer. They had not gone on poker runs for over two years. He had not come to current events, but he watched TV and read the paper. She was unable to provide documentation of any of his activity involvement. Her staff documented everyday the activities the residents came to. -She was unable to retrieve from the computer the activities he had participated in, because she did not know how. -She could not say for sure how she summarized his activity participation in his quarterly assessment without reviewing any documentation. --She just knew the residents. -She just knew he had not attended activities that were part of his assessed interests because of his behaviors. A later interview on 2/1/17 at 1:00 p.m. with the activity director and review of the (MONTH) (YEAR) activity participation records revealed: He had attended: -Special events once. -Church services/mass twice. -Current events five times, but that did not clarify if that was his watching TV, reading the newspaper, or coming to the event. -Music once. -Hair cut once. Review of the provider's undated Participation in Activities policy revealed Residents are encouraged to attend and participate in activities of their choosing. Review of the provider's undated Individual Activities policy revealed: It is the policy of this facility that individual activities be provided for those residents whose physical disabilities prohibit movement to other types of activities, and to those residents who do not wish to attend group activities.	2020-09-01