cms_AK: 70

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
70 WRANGELL MEDICAL CENTER LTC 25015 P.O. BOX 1081 WRANGELL AK 99929 2018-04-30 800 D 0 1 O8F911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, observation, and interview the facility failed to provide 2 residents (#s 1 and 10) out of 8 sampled residents the appropriate diet as ordered by the physician. This failed practice placed the residents at risk for inadequate nutritional intake and risk for medical complications. Findings: Resident #1 Record review on 4/23-27/18, revealed Resident #1 was admitted with [DIAGNOSES REDACTED]. Review of Resident #1's physician orders [REDACTED]. During an observation on 4/24/18 at 12:00 pm, the Cook #1 prepared and served Resident #1 a mechanical soft diet. This preparation was completed without the use of a diet card. A dietary sticker was placed on the plate container lid once completed and placed on cart for delivery. During an observation on 4/24/18 at 12:35 pm, Resident #1 stated she didn't like the way the food was chopped up and pushed the meal away, refusing to eat it. During an interview on 4/27/18 at 2:00 pm, the Cook #1 could not remember what type of diet he/she prepared and served Resident #1 on 4/24/18. Resident #10 Records review on 4/23-27/18, revealed Resident #10 was admitted with [DIAGNOSES REDACTED]. Review of Resident #10's physician orders [REDACTED]. Review of definitions from Simplified Diet Manual 11th Edition, published 2012, reveals NAS diets are used for residents with [MEDICAL CONDITION] who are at risk for high blood pressure and [MEDICAL CONDITION]. Consistent carb diets are used for residents with diabetes. Review of Wrangell Medical Center's dietary menu for 4/24/18, reveals NAS diet means no pickle and consistent carb diet means fruit instead of cookie. During an observation on 4/24/18 at 12:00 pm, the Cook #1 prepared and served Resident #10 a regular diet that included a pickle and a cookie. This preparation was completed without the use of a diet card. A dietary sticker was placed on the plate container lid once completed and placed on cart for delivery. During an interview on 4/27/18 at 2:00 pm, the Cook #1 was not aware Resident #10 was on a NAS diet, but was aware he/she was a consistent carbohydrate diet. Cook #1 stated Resident #10 should have been served a meal consistent with his/her diet order and nutritional guidelines. 2020-09-01