cms_AK: 8

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
8	KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE	25010	3100 TONGASS AVENUE	KETCHIKAN	AK	99901	2017-05-19	492	D	0	1	YBQY11	Based on observation, document review and interview the facility failed to ensure blood glucose testing competencies for 16 active certified nursing assistants (CNAs) out of 18 reviewed were conducted in compliance with Alaska Nursing Statutes and Regulations. This failed practice placed 4 residents (#s 2, 5, 9 and 12) out of 14 active residents who required blood glucose monitoring, at risk for improper technique of obtaining blood glucose. This failed practice had the potential for complications such as infection or inaccurate reading. Findings: Random observations from 5/15-17/17 revealed various CNAs completing blood glucose testing on residents. Review on 5/17/17 at 3:47 pm of the CNA Glucometer Competency packet, last updated 4/2017, revealed the following: - CNA #s 1, 10, 12, 13 and 14 had no initial competency or 90-day evaluation; - CNA #s 2, 3, 4, 5, 6, 7, 9, 15 and 16 did not have a 90-day evaluation completed; and - CNA #s 8 and 11 90-day evaluations were completed late. During an interview on 5/17/17 at 3:47 pm the Charge Nurse (CN) stated it was his responsibility to complete the CNA glucometer competencies. The CN confirmed some competencies had been either late or not completed. Review of the Alaska Nursing Statues and Regulations, dated 9/2016, revealed 12 AAC 44.960 .Specialized nursing duties may be delegated to another person under the standards set out in 12 AAC 44.950. (b) Specialized nursing task that may be delegated include .(3) obtaining blood glucose levels .(8) A nurse who delegates a nursing duty to another person under this section shall develop a nursing delegation person. The delegating nurse shall evaluate a continuing delegation as appropriate, but must perform an evaluation of the performance of the delegated duty by the other person. The delegating nurse shall evaluate the continuing delegation as appropriate, but must perform an evaluation on-site at least every 90 days after the delegation was made. The delegating nurse shall keep a record of the evaluations conducted.	2020-09-01