cms_AK: 7

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
7 KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE 25010 3100 TONGASS AVENUE KETCHIKAN AK 99901 2017-05-19 332 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 ensure 2 residents (#s 12 and 13), out of 5 residents observed during medication administration, received medications per physician's orders [REDACTED].#12) was given a medication without measuring blood pressure prior to administration per physician's orders [REDACTED].#13) was given a medication that was administered contrary to manufacturer recommendation and physician order, specifically crushed vs. whole. This failed practice placed the facility's medication error rate above 5% and placed the resident at risk for not receiving therapeutic benefits from the medications. Findings: Resident #12 Record review on 5/16-18/17 revealed Resident #12 was admitted to the facility with [DIAGNOSES REDACTED]. Review on 5/16/17 revealed Resident #12's medication regime included the Resident had an order for [REDACTED]. Observation during a medication pass on 5/16/17 at 12:00 noon, revealed LN #2 entered Resident #12's blood pressure results in the Medication Administration Record [REDACTED]. During an interview on 5/16/17 at 12:00 noon, licensed nurse (LN) #2 stated he/she only takes Resident #12's blood pressure in the morning and the afternoon. The LN further stated Resident #12's blood pressure was always high. During an interview on 5/18/17 at 8:30 am, LN #3 reviewed the order and stated Resident #12's blood pressure should be taken prior to giving [MEDICATION NAME]. During an interview on 5/17/17 at 3:30 pm, Pharmacist (PH) #2 stated the blood pressure should be taken within 1 hour of giving the blood pressure medication [MEDICATION NAME]. He/she further stated the blood pressure reading from the prior dose should not be used for the current dose. Resident #13 Record review on 5/16-19/17 revealed Resident #13 was admitted to the facility with [DIAGNOSES REDACTED]. Record review on 5/18/17 revealed Resident #13's medication regime included Aspirin EC ([MEDICATION NAME] coated) 81mg (milligrams) po (by mouth) QD (every day) Admin (Administration) Instructions: Do not crush. Observation of a medication pass on 5/16/17 at 10:30 am revealed, LN #1 crushed Resident #13's medications which included the [MEDICATION NAME] coated aspirin. During an interview on 5/17/17 at 3:15 pm, PH #2 stated that [MEDICATION NAME] coated aspirin shouldn't be crushed. Review of the WebMD website http://www.webmd.com/drugs/2/drug- -3/aspirin-ec/details, accessed on 5/25/17, revealed: Swallow [MEDICATION NAME]-coated tablets whole. Do not crush or chew [MEDICATION NAME]-coated tablets. 2020-09-01