cms_AK: 39

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
39 WRANGELL MEDICAL CENTER LTC 25015 P.O. BOX 1081 WRANGELL AK 99929 2019-04-24 558 E 0 1 FNNN11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, observation, and interview, the facility failed to ensure that resident needs were accommodated for 1 resident (# 1), out of 8 sampled residents. Specifically, the facility failed to ensure the call light was accessible while a resident was in his/her room. This failed practice inhibited the residents' ability to call for assistance and placed the resident at risk for a delay in receiving care. Findings: Record review from 4/15-19/19 revealed Resident #1 was admitted to the facility with [DIAGNOSES REDACTED]. Record review of Resident #1's care plan revealed Resident #1 was at risk for falls with interventions to include frequent reminders to slow down .use footwear .ask for help at night when unsteady .and ensure (his/her) call bell is within reach. During an interview on 4/16/19 at 10:07 am, Resident #1 stated that he/she was unsure where the call light was in his/her new bedroom. Resident #1 further stated that he/she would not know how to contact staff if he/she needed help in the bedroom. Observation on 4/16/19 at 10:14 am of Resident #1's bedroom revealed the call light and cord were wound up and hanging on the wall over the oxygen supply valve near the room curtain divider approximately two feet above the bedside table. Further review revealed Patient #1 was not able to reach the call light from his/her wheelchair. Observation on 4/17/19 at 8:52 am and 4/18/19 at 8:20 am revealed the call light and cord remained coiled on the wall over the oxygen supply valve. During an interview on 4/19/18 at 8:25 am, the Director of Nursing (DON) stated that every resident should have access to their call lights and the call lights should never be out of reach. The DON further stated that staff do frequent rounding and that she would be surprised if a resident did not know where the call light was in the room. During an interview on 4/19/18 at 8:31 am, the DON stated there was no policy on call lights. During an interview on 4/19/19 at 10:09 am, the Long Term Care (LTC) Care Services Coordinator stated that all residents should have access to their call light. The LTC Care Services Coordinator further stated that it is the responsibility of all floor staff to ensure the residents have access to their call lights. 2020-09-01