cms_AK: 53

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
53	WRANGELL MEDICAL CENTER LTC	25015	P.O. BOX 1081	WRANGELL	AK	99929	2018-04-30	552	D	0	1	O8F911	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to provide medication education to 1 resident (#11) out of 4 residents observed receiving medication. This failed practice inhibited the resident's right to be informed of his/her medication regimen and treatment. Findings: Review of the most recent MDS (Minimum date Set) assessment, a quarterly assessment dated [DATE], revealed Resident #11 was coded as having minimal difficulty hearing; clear speech; ability to make self understood; and usually understands others. During an observation on 4/26/18 at 8:55 am, Licensed Nurse (LN) #2 administered Resident #11's morning medication. Resident #11 asked LN #2 three different times, What are these pills? LN #2 replied each time by saying, It's your morning meds. LN #2 did not offer to explain the medications to the Resident during medication administration. During an interview on 4/26/18 at 3:00 pm, LN #2 was asked what the process was when a resident asked about medications he/she was taking. In response, the LN stated, I'll just sit down and talk to them about it. When asked about the morning medication pass on 4/26/18 with Resident #11, LN #2 stated he/she should have taken the opportunity to explain the medications to him/her. Review of Wrangell Medical Center's Resident's Bill of Rights, undated, reveals, Resident has the right to participate in the development and implementation of his or her person-centered plan of care, including to identify individuals or roles to be included in the planning process; to request meetings and the right to request revisions to the plan of care; to identify the expected goals and outcomes of care; and to identify the type, amount, frequency, and duration of care, among other factors.	2020-09-01