cms_AK: 5

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
5	KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE	25010	3100 TONGASS AVENUE	KETCHIKAN	AK	99901	2017-05-19	280	D	0	1	YBQY11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation and interview the facility failed to update and revise the care plan to reflect the current level of care and services for 1 resident (#3) out of 7 residents whose care plans were reviewed. Specifically, the facility failed to revise a care plan to reflect the need for a gait belt when the resident was out of bed. Failure to assess and revise care plan problems, goals, and interventions placed the resident at risk for not receiving appropriate and/or necessary care and services. Findings: Record review from 5/16-19/17 revealed Resident #3 was admitted to the facility with [DIAGNOSES REDACTED].) and frequent falls. Review of the comprehensive care plan, dated 4/26/17, revealed .Use assistive device when assisting with transfers and ambulation .1 person stand by assist with gait belt and FWW (front wheeled walker) Random observations throughout the survey from 5/15-19/17 revealed the resident had a gait belt on his waist while he/she sat in his/her wheelchair. During an interview on 5/16/17 at 8:50 am certified nursing assistant (CNA) #5 stated, We keep (his/her) gait belt on when (he/she) is out of bed, just in case (he/she) is impulsive and rises on (his/her) own. Observation during Resident group meeting on 5/16/17 from 9:00 am to 9:50 am revealed Res #3 left the meeting briefly. On his/her return at 9:25 am, he/she wore a gait belt. Res #3 stated have to leave gait belt on all the time so they can grab you I guess. The facility did not provide a policy for care plans as requested.	2020-09-01