cms_AL: 19
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.
This data as json, copyable
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 19 |
HIGHLANDS HEALTH AND REHAB |
15012 |
380 WOODS COVE ROAD |
SCOTTSBORO |
AL |
35768 |
2017-03-16 |
425 |
E |
0 |
1 |
WKAI11 |
Based on a review of a facility documents titled: MEDICATION DESTRUCTION RECORD. and interviews the facility failed to ensure there were three signatures for the drug destruction of Narcotics. This affected six of 12 drug destruction documents reviewed to include March, (YEAR), April, (YEAR) and (MONTH) (YEAR). Findings Include: On 03/16/17, at 8:50 p.m. during a review of facility documents titled: MEDICATION DESTRUCTION RECORD . CONTROLLED SUBSTANCES the surveyor observed 2 signatures for 2 documents dated 03/16/16, 2 documents for (MONTH) (YEAR), one with one signature, and 2 documents dated 01/16/17, with 2 signatures. An interview was conducted on 03/16/17, at 11:00 a.m. with Employee Identifier (EI) #1 Pharmacy Consultant. EI #1 was asked to review the 6 documents for the drug destruction for Narcotics and tell the surveyor how many signatures he observed for the destruction by flushing of Narcotics. EI #1 replied, 5 of the sheets dated 01/16/17 had 2 signatures, (MONTH) (YEAR) had one document with 2 signatures and another with only one signature and 2 documents for (MONTH) (YEAR) had only 2 signatures. EI #1 was asked how many signatures should be on each of the documents. EI #1 replied, 3 signatures. He was asked why there were 2 instead of 3. EI #1 stated, I don't know why. EI #1 was asked what the potential for harm was if 3 people were not present and destroyed Narcotics. He replied, it could be a potential for someone not destroying the medications. Drug diversion possibility. A second interview was conducted on 03/16/17, at 11:15 a.m. with EI #2 Registered Nurse. She was asked to review the 6 documents for the destruction of the Narcotics and tell the surveyor how many signatures she observed. EI #2 replied, 2 documents for (MONTH) 16, (YEAR) had 2 signatures, 2 documents for (MONTH) (YEAR) one included 2 signatures and one document had one signature and 2 documents for (MONTH) (YEAR) had 2 signatures. EI #2 was asked how many signatures should be on the destruction of Narcotics. She stated, 3 Signatures. EI #2 was asked why there were one to 2 signatures on the documents for the drug destruction for Narcotics. She stated, I just can't tell you I have done this for years and haven't ever done this. EI #2 was asked what the potential for harm was if there were one to 2 signatures with the drug destruction of Narcotics. She replied, to be certain they were destroyed. |
2020-09-01 |