cms_AK: 25

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
25 KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE 25010 3100 TONGASS AVENUE KETCHIKAN AK 99901 2019-08-23 637 D 0 1 0OWF11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to implement care plan interventions within 14 days after an identified significant change in a resident's physical condition that impacted the ability to maintain independence and complete activities of daily living for 1 resident (#6) out of 14 sampled residents. This failed practice had the potential to cause further decline in the resident's ability to complete independent hygiene and self-care activities. Findings: Record review on 8/19-23/19 revealed Resident #6 was admitted to the facility with [DIAGNOSES REDACTED]. Resident #6 had difficulty walking and used a wheelchair for mobility. During an interview on 8/21/19 at 8:32 am, Resident #6 stated that he/she was concerned because he/she had gained approximately 80 pounds since admission. Resident #6 stated that the facility had not addressed his/her weight gain. Resident #6 stated the weight gain had caused difficulty to independently attend to activities of daily living. Record review of the weight chart revealed that Resident #6 weighed 166.2 kilos on 2/27/19 and 191.1 on 8/20/19. The weight calculator revealed a 14.98% weight gain in slightly less than 6 months. During an interview on 8/21/19 at 1:53 pm, Resident #6 stated that he/she had discussed the weight gain with both the doctor and the dietitian. Resident #6 further stated he/she had not been provided with any information or options to address the weight gain. During an interview on 8/21/19 at 3:16 pm, the Registered Dietitian (RD) stated that Resident #6 was difficult because he/she would not follow diet recommendations, bought food from outside, and failed to follow recommendations of the staff and RD. The RD further stated that the weight gain could be due to fluid retention, that Resident #6 had been on fluid restriction, but that there were not current restrictions. Record review of Resident #6's admission MDS (Minimum Data Set- a federally mandated assessment tool), dated 3/6/19 revealed the Resident was independent with transfers and personal hygiene. The most recent quarterly assessment dated [DATE], revealed the resident now required extensive assistance in transfers and personal hygiene. During an interview on 8/22/19 at 1:47 pm with the MDS Coordinator (MDSC), he/she stated that he/she felt Resident #6 had experienced a significant change in functional ability but did not complete a significant change update. The MDSC further stated that the change had been discussed in the care conference meeting but the team thought the weight gain was due to Resident #6's personal choices so it was not addressed. When asked if a significant change assessment should have been done for Resident #6, the MDSC replied, probably, yes. 2020-09-01