cms_AK: 13

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
13 KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE 25010 3100 TONGASS AVENUE KETCHIKAN AK 99901 2018-08-03 684 D 0 1 RHGS11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview, and observation the facility failed to provide nail care for a fungal infection that may have contributed to major nail deformity and discomfort for 1 resident (#14) out of 14 sampled residents. This failed practice placed the resident at risk for actual decline in physical, mental, and/or psychosocial well-being. Findings: Record review on 7/30/18 - 8/3/18 revealed Resident #14 was admitted to the facility with a [DIAGNOSES REDACTED]. During an interview on 7/31/18 at 11:57 am, Resident #14 and his/her spouse stated there was a need for nail care due to a fungal infection. The spouse stated they have not been able to see a nail doctor and he/she has requested assistance to get Resident #14 to a nail doctor from staff, but it hasn't happened. Resident #14 further states his/her nails hurt all the time, and they embarrass him/her, they make me feel like a witch, and he/she hides his/her hand under blankets. An observation on 7/31/18 at 11:57 am, revealed two nails (middle and ring finger) on Resident #14's left hand that were deformed, growing out and almost perpendicular to the nail bed. The nails themselves were extremely thick and overgrown, pushing into the nail bed of the finger. During an interview on 8/1/18 at 1:44 pm, the Infection Preventionist and Director of Nursing stated the charge nurse has been trying to get Resident #14 a podiatry (foot doctor) appointment with a traveling podiatrist. The facility could not provide documentation that a nail appointment is pending for Resident #14. During an interview on 8/3/18 at 11:19 am, the Social Worker indicated that they are not involved in making medical appointments. Review of Quarterly Team Conference notes, dated 10/27/17, 1/23/18, and 4/12/18, revealed no documentation of the need for nail care or any steps taken to get a podiatry consult made. Review of Resident #14's Care Plan revealed Problem: Health Promotion, start date 6/1/18: - Appointment with Dr. Lam, Podiatry, Yearly diabetic foot (evaluation)/nail care. 6-30-18. - 6-28-18 Rescheduled by doctor however facility did not receive notification. Doctor evaluating whether he wants to continue to see resident. Office will call back. Review of Resident #14 most recent MDS (Minimum Data Set-a federally required nursing assessment), an annual assessment dated [DATE], revealed no indication nail care is an identified problem and no plan of attaining a podiatry consult. Review of the Annual Team Conference note, dated 7/17/18, revealed no mention for the need of nail care or any steps taken to get a podiatry consult made. Review of MDS Nurse notes, dated 10/24/17, 1/23/18, 4/12/18 and 7/17/18, revealed no documentation for the need of nail care or any steps taken to get a podiatry consult made. 2020-09-01