cms_AK: 11

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
11 KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE 25010 3100 TONGASS AVENUE KETCHIKAN AK 99901 2018-08-03 578 E 0 1 RHGS11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview the facility failed to 1) have a written Advanced Directives (AD) policy and 2) ensure evidence AD information was provided for 5 residents (#s 2; 3; 7; 12 and 14) out of 14 sampled residents. This failed practice had the potential to deny the residents the right to choose and make end of life medical care decisions. Findings: Resident #2 Record review on 7/30/18 - 8/3/18 revealed Resident #2 was admitted to the facility with [DIAGNOSES REDACTED]. Review of the most recent MDS (Minimum Data Set - a Federally required assessment) assessment, a quarterly assessment dated [DATE], revealed Resident #2 has a BIMS (Brief Interview for Mental Status) score of 15 (a score of 13-15 means the person is cognitively intact). Review of Resident #2's medical record revealed an incomplete AD. Resident #2 only had 2 pages of a 9 page packet entitled Five Wishes: Page 2 of the packet, Wish 1, and page 8, Signing the Five Wishes Form. Further review revealed no documentation that Resident #2 had completed an AD or was offered assistance to formulate an AD. Resident #3 Record review on 7/30/18 - 8/3/18 revealed Resident #3 was admitted to the facility with a [DIAGNOSES REDACTED]. Review of the most recent MDS assessment, a quarterly assessment dated [DATE], revealed Resident #3 had a BIMS score of 0 (a score of 0-7 means the person is severely impaired). Review of Resident #3's medical record revealed no AD. A Power of Attorney was present. Further review revealed no documentation that Resident #3's guardian was asked if Resident # 3 had an AD or offered assistance to make one if desired. Resident #7 Record review on 7/30/18 - 8/3/18 revealed Resident #7 was admitted to the facility with [DIAGNOSES REDACTED]. Review of the most recent MDS assessment, a significant change dated 5/28/18 revealed Resident #7 had a BIMS score of 15. Review of Resident #7s electronic medical record revealed no AD. When asked for the residents AD, the facility produced a physician order [REDACTED]. Resident #12 Record review on 7/30/18 - 8/3/18 revealed Resident #12 was admitted to the facility with [DIAGNOSES REDACTED]. Review of the most recent MDS assessment, a quarterly assessment dated [DATE], revealed Resident #12 had a BIMS score of 15. Review of Resident #12's medical record revealed no AD on file or indication that Resident #12 was offered the right to formulate an AD. Resident #14 Record review on 7/30/18 - 8/3/18 revealed Resident #14 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the most recent MDS, a quarterly assessment dated [DATE], revealed Resident #14 has a score of 9 (a score of 8-12 means the person is moderately impaired). Review of Resident #14's medical record revealed no AD. A Power of Attorney was on file. Further review revealed no documentation that Resident #14 or the guardian were asked if Resident #14 had an AD or offered information about an AD. During an interview on 8/1/18 at 2:10 pm, the Long Term Care Administrator stated there was no AD policy or system in place to ask residents on admission if they had an AD or to offer assistance or declination to formulate an AD. During an interview on 8/3/18 at 11:27 am, Social Worker #1 could not provide documentation where he/she asked the Residents if they had an AD or if they would like help making one. He/she stated they only document who the guardian is and who makes medical decisions for the residents on their assessments. 2020-09-01