cms_AK: 100

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
100 PROVIDENCE TRANSITIONAL CARE CENTER 25018 910 COMPASSION CIRCLE ANCHORAGE AK 99504 2018-07-13 756 D 0 1 FK4811 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview the facility failed to ensure accurate drug regimen review for 1 resident (#7) out of 17 sampled residents, reflected a medication contraindication as referred by the Beers list ( Criteria for Potentially Inappropriate Medication use in Older Adults) was acted on in a timely manner. This failed practice placed the resident at increased risk for confusion, [MEDICAL CONDITION], falls and fractures. Findings: Record review on 7/9-13/18 revealed Resident #7 was admitted to the facility with [DIAGNOSES REDACTED]. Review of the physician's orders [REDACTED]. (A benzodiazepine that is primarily used to treat anxiety). Review of Pharmacy Recommendations for Resident #7 revealed a monthly review, dated 6/27/18 at 12:35pm, revealed: .PRN [MEDICATION NAME] ([MEDICATION NAME]) was ordered last night for use PRN agitation or [MEDICAL CONDITION]. Not the best choice, but better than a PRN antipsychotic. Will increase fall risk at night and will need close monitoring. Nursing staff to attempt 1:1 (one to one) care when staffing allows. Further review of Resident #7's chart revealed no drug regimen review sheet to alert the physician of these recommendations for increased observation. Record review of Resident #7's active care plan last reviewed 4/4/18 revealed: I need to have someone help me .am unaware of safety risks .have the potential to fall down and hurt myself. I am at risk for injuring myself . During an interview on 7/11/18 at 12:50 pm, the Pharmacist stated the 6/27/18 monthly review did not address the [MEDICATION NAME] order was contraindicated for the elderly population on the Beers list for treatment of [REDACTED]. The Pharmacist further stated the Pharmacist reviewing the record should have reported the concern and documented it on the review. Review of the American Geriatrics Society Beers Criteria for Potentially Inappropriate Medication use in Older Adults, dated 2012, reads, Avoid Benzodiazepines (any type) for treatment of [REDACTED]. Older adults have increased sensitivity to benzodiazepines .In general, all benzodiazepines increase risk of cognitive impairment, [MEDICAL CONDITION], falls, fractures .in older adults. 2020-09-01