cms_AK: 66

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
66 WRANGELL MEDICAL CENTER LTC 25015 P.O. BOX 1081 WRANGELL AK 99929 2018-04-30 726 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 staff had appropriate competencies and skills necessary to care for 1 resident (#1) of 1 resident with a cardiac pacemaker. This failed practice placed the resident with a pacemaker at risk for receiving less than optimal care from nursing staff. Findings: Record review from 4/24-27/18, revealed Resident #1 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Record review on 4/24-27/18, of Resident #1's Multi-Disciplinary Care Plan, dated 2/7/18, revealed no documentation of Resident #1's pacemaker or any special care the Resident or the device may require. During an interview at 4/27/18 at 11:50 am, LN #1 stated he/she was not aware of any Resident who had any devices that would require any special care or monitoring. During an interview on 4/27/18 at 9:18 am, Licensed Nurse (LN) #4 stated he/she did not know of any special monitoring or equipment needed for care of Resident #1's pacemaker and was not aware of what provider or facility would be monitoring the pacemaker. During an interview on 4/27/18 at 2:58 pm, the Chief Nursing Officer (CNO) stated she did not know there was a Resident in the facility who had a pacemaker. The CNO further stated staff did not have any special training on how the pacemaker is monitored, equipment to use, or care of the implant (surgical) site. 2020-09-01