cms_AK: 45

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
45	WRANGELL MEDICAL CENTER LTC	25015	P.O. BOX 1081	WRANGELL	AK	99929	2019-04-24	641	D	0	1	FNNN11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, interview, and policy review, the facility failed to ensure pressure ulcers were accurately coded on a significant change MDS (Minimum Data Set - A Federally mandated nursing assessment) for 1 Resident (#10), out of a sample of 8 residents. This failed practice had the potential to inaccurately reflect the resident's status and care planning and placed the resident at risk of physical and psychosocial decline. Findings: Record review from 4/15-19/19 revealed Resident #10 was admitted to the facility with [DIAGNOSES REDACTED]. Review of the most recent MDS, a Significant Change assessment, dated 4/3/2019, revealed that Resident #10 was coded as having one Stage II pressure ulcer (pressure injury to the skin that involves partial-thickness skin loss with exposed under skin layers. Wound is pink or red, moist, and may be intact or a ruptured serum-filled blister). During an interview on 4/19/19 at 11:04 am, the MDS Coordinator stated that she was aware of the pressure ulcer to Resident #10's left foot, but unaware of a second pressure ulcer to the Resident's right toe. The MDS Coordinator reviewed the most recent MDS dated [DATE] and stated I must have missed it. Review of the facility policy and procedure entitled, Resident MDS Assessment and Care Planning revealed: All residents will have Comprehensive Assessment completed on admission, Annually, and with any Significant changes . the purpose of the policy is to provide interdisciplinary observation and assessment to ensure the most accurate assessment of functional capacity .Risk Factors and Assessment to be completed by a nurse .Braden, Pressure Ulcer Risk, Urine Incontinence Risk, Fall Screen, Constipation Screen, Risk of Dehydration, Risk of Elopement, Risk for skin tears, additional assessments as needed .	2020-09-01