cms_AK: 61

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
61	WRANGELL MEDICAL CENTER LTC	25015	P.O. BOX 1081	WRANGELL	AK	99929	2018-04-30	642	D	0	1	O8F911	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to ensure a MDS (Minimum Data Set) assessment was completed accurately in accordance with standards set forth by Center for Medicare and Medicaid Services (CMS). Specifically, the facility failed to review five subsections of the MDS for the full 7-day look back period for 1 resident (#10) out of 8 sampled residents. This failed practice placed the resident at risk for improper care planning and denied the resident an accurate assessment of his or her current health care status. Findings: Record review on 4/23-27/18, revealed Resident #10 was admitted to facility with [DIAGNOSES REDACTED]. He/She has a history of bilateral [MEDICAL CONDITION] that left her wheelchair bound. Review of the Long-Term care Facility Resident Assessment Instrument 3.0 User manual, dated 10/2017, revealed Assessment Reference Date (ARD) refers to the last day of the observation (or 'look back') period that the assessment covers for the resident .Most of the MDS (Minimum Data Set) 3.0 items have a 7-day look back period. Review of the Long-Term care Facility Resident Assessment Instrument 3.0 User manual, dated 10/2017, revealed the following sections required a 7-day look back review: C1310; E0100; E0200; E0500; E0600; E0800; E0900; J1100; J1500; J1800; K0100; K0510; P0100; and P0200. Review of the admission MDS (Minimum Data Set) assessment, dated 10/11/17, revealed the Social Worker signed Sections C and [NAME] as completed on 10/10/2017 under Section Z (a day before the last day of review). Additional review revealed LN#3 signed Sections J, K and P as completed on 10/10/17 under Section Z (a day before the last day of review). During random interviews on 4/25-27/18, LN #3 stated he/she was unable to explain why Sections C, E, J, K and P were signed before the ARD date of 10/11/17. The LN further stated that some sections can be done early. Review of the Long-Term care Facility Resident Assessment Instrument 3.0 User manual, dated 10/2017, revealed the rationale for Section Z was To obtain the signature of all persons who completed any part of the MDS. Legally, it is an attestation of accuracy with the primary responsibility for its accuracy with the person selecting the MDS item response. Each person completing a section or portion of a section of the MDS is required to sign the Attestation Statement .The importance of accurately completing and submitting the MDS cannot be over- emphasized.	2020-09-01