cms_AK: 19

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
19	KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE	25010	3100 TONGASS AVENUE	KETCHIKAN	AK	99901	2018-08-03	880	D	0	1	RHGS11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interview the facility failed to ensure staff performed hand hygiene according to accepted professional practices during the provision of care and services for 1 resident (#4) out of 14 sampled residents. This failed practice increased the risk for the development and transmission of disease and infection in a vulnerable population. Findings: Record review on 7/30/18 - 8/3/18 revealed Resident #4 was admitted to the facility with a [DIAGNOSES REDACTED]. Review of Resident #4 most recent MDS (Minimum Data Set-a federally required nursing assessment), a quarterly assessment dated [DATE], revealed he/she was assessed as totally dependent on staff assistance to eat. During an observation on 7/30/18 at 5:20 pm, Certified Nursing Assistant (CNA) #2 prepared to assist Resident #4 with dinner. The CNA entered the room, washed his/her hands, and donned a pair of gloves. Further observation revealed CNA #2 then went to the bedside picked up a safety mat off the floor, folded it, and placed it against the wall. With the same gloves on, CNA #2 then positioned the Resident's head of bed up and positioned Resident #4 for eating dinner. Further observation revealed CNA #2 positioned Resident #4's food tray on the bedside table and began handling the food and food items without changing the gloves he/she had used to handle the floor mat. CNA #2 mixed all of Resident #4 pureed food together as well as prepared the rest of the tray before he/she changed gloves to assist Resident #4 to eat dinner. During an interview on 7/30/18 at 5:32 pm, CNA #2 stated he/she should have changed gloves and completed hand hygiene prior to making contact with the Resident #4's bed and before preparing his/her food. Review of the facility's competency training Your 5 Moments for Hand Hygiene, no date, revealed: clean your hands after touching a patient and her/his immediate surroundings . Review of the facility's competency training verification Hand Hygiene Verification, dated 3/30/17, revealed when to wash hands: .to perform work in any health care settings are required to clean their hands .also when touching any object or furniture in a patient's immediate surroundings .	2020-09-01