cms_AK: 37

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
37 KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE 25010 3100 TONGASS AVENUE KETCHIKAN AK 99901 2019-10-11 609 E 1 0 566T11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and interview the facility failed to ensure allegations of potential neglect were reported to the appropriate officials in accordance with State law, including to the State Survey Agency, within required time frames and facility policy. Specifically, the facility failed to notify the State Survey Agency and the State Medical Board in the required timelines set forth by federal and/or state regulation/statute/law. This failed practice caused 10 residents (#s 1; 2; 3; 4; 5; 6; 7; 8; 9; and 10) out of 27 residents to have received physician care and services not in accordance with State law and had the potential to cause further allegations of neglect. Findings: Review of the facility provided physicians' schedule, dated [DATE] to [DATE], revealed Physician #1 was scheduled and employed by the facility. Record review of the CareConnect Provider Activity Report, dated [DATE] to [DATE] revealed Physician #1 provided care and/or services to 10 residents (#s 1; 2; 3; 4; 5; 6; 7; 8; 9; and 10). Review of Alaska's Division of Corporations, Business and Professional Licensing under the Department of Commerce, Community, and Economic Development website, accessed at https://www.commerce.alaska.gov/web/cbpl/ProfessionalLicensing.aspx on [DATE], revealed Physician #1 had a lapsed licensure status from [DATE] to [DATE]. During an interview on [DATE] at 1:20 pm, the Long Term Care (LTC) Administrator stated the LTC facility was made aware of Physician #1 [MEDICATION NAME] without a license from [DATE] to [DATE] on [DATE]. The Administrator further stated the facility did not report the event to the State Agency until [DATE]. Review of the facility policy State Reporting and Investigation of Suspected Abuse/Neglect of Resident and the Federal Elder Justice Act, dated [DATE], revealed In accordance with Alaska state law, 42CFR483.13(b)(c), all suspected cases of abuse and/or neglect will be reported as outlined below: Health Facilities Licensing and Certification (HFL&C): The initial reporting of the incident must be faxed or phoned immediately .The results of the investigation must be followed up through a written report within five days of the initial reporting of the incident. Review of the RULES AND REGULATIONS of PEACEHEALTH KETCHKIAN MEDICAL CENTER and PEACEHEALTH NEW HORIZONS TRANSITIONAL CARE CENTER, last approved on [DATE], revealed a .report, in writing and confidentially, to the Chief of Staff, or the Professional Practice Evaluations Committee physician chair any conduct, acts, or omissions by other Medical Staff member which are believed to be detrimental .to the proper functioning of the Facility, or which violate professional ethics. Review of the PEACEHEALTH KETCHKIAN MEDICAL CENTER MEDICAL STAFF BYLAWS AND PEACEHEALTH NEW HORIZONS TRANSITIONAL CARE CENTER, dated [DATE], revealed Reports of actions taken pursuant to these Bylaws shall be made by the CAO (Chief Administrative Officer) to such governmental agencies as may be required by law. During an interview on [DATE] at 1:00 the facility's Medical Director stated he/she was Physician #1's direct supervisor. When asked about at what point was he/she made aware of Physician #1 working without a valid licensure, the Medical Director stated the information was sent to him around [DATE]. The Medical Director further stated the State Medical Board was contacted on [DATE] (10 days after notice of lapse in licensure and 2.5 months after licensure was expired). Record review of the facility document Actions to Notify (Physician #1) Professional Licensure Expiration, undated, revealed on [DATE] the CVO verified Physician #1's license was reinstated with an expiration of [DATE]. The Physician's status was changed to current. CVO documented the state licensing entity would not retroactively reinstate the licensure due to a status of inactive from [DATE] to [DATE]. Review of the Alaska Statute (AS) 08.64.336(b), accessed at http://www.akleg.gov/basis/statutes.asp#08.64.336 on [DATE], revealed Duty of physicians and hospitals to report .A hospital that revokes, suspends, conditions, restricts, or refuses to grant hospital privileges to, or imposes a consultation requirement on, a person licensed to practice medicine or osteopathy in the state shall report to the board the name and address of the person and the reasons for the action within seven working days after the action is taken. A hospital shall also report to the board the name and address of a person licensed to practice medicine or osteopathy in the state if the person resigns hospital staff privileges while under investigation by the hospital or a committee of the hospital and the investigation could result in the revocation, suspension, conditioning, or restricting of, or the refusal to grant, hospital privileges, or in the imposition of a consultation requirement. A report is required under this subsection regardless of whether the person voluntarily agrees to the action taken by the hospital .In this subsection consultation requirement means a restriction placed on a person's existing hospital privileges requiring consultation with a designated physician or group of physicians in order to continue to exercise the hospital privileges. Review of the Alaska Administrative Code 12 AAC 40.967, accessed at http://www.akleg.gov/basis/aac.asp#12.40.967 on [DATE], revealed For purposes of AS 08.64.240(b) and AS 08.64.326, unprofessional conduct means an act or omission by an applicant or licensee that does not conform to the generally accepted standards of practice for the profession for which the applicant seeks licensure or a permit under AS 08.64 or which the licensee is authorized to practice under AS 08.64. Unprofessional conduct includes the following .[MEDICATION NAME] a profession licensed under AS 08.64 without a required license or permit or with a lapsed, expired, retired, or inactive license or permit . 2020-09-01