cms_AK: 43

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
43	WRANGELL MEDICAL CENTER LTC	25015	P.O. BOX 1081	WRANGELL	AK	99929	2019-04-24	623	D	0	1	FNNN11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to incorporate all required contents in a written notice of discharge prior to mailing this notice to 1 resident's (#3) representative, out of 8 sampled residents. This failed practice placed the resident at risk for being inappropriately discharged from the facility. Findings: Record review on 4/15-19/19 revealed Patient #3 was admitted to the facility with [DIAGNOSES REDACTED]. This includes an increased risk of violence, aggressive behavior) and physical deconditioning (a physical and psychological decline in function). Record review revealed a Notice of Intent to Discharge, dated 4/10/19, that was mailed to Resident #3's representative, who was his/her power of attorney (POA), on 4/11/19. Review of the notice revealed the reasons for this action were: 1) The transfer or discharge is necessary for the resident's welfare and the resident's needs cannot be met in this facility and 2) The safety of individuals (other residents) in this facility if endangered. Further review revealed the location to be discharged and date of discharge were documented as yet to be determined. During an interview on 4/19/19 at 3:10 pm, the Director of Nursing (DON) stated Resident #3's Notice of Intent to Discharge was sent to the POA without a facility/location identified, or date of discharge. He/she stated he/she was unaware these stipulations needed to be ascertained prior to notification.	2020-09-01