cms_AL: 21

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
21	HIGHLANDS HEALTH AND REHAB	15012	380 WOODS COVE ROAD	SCOTTSBORO	AL	35768	2018-05-03	550	D	0	1	VXOM11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interview, record review and review of a facility policy titled, Care of Urinary Catheter, the facility failed to ensure Resident Identifier (RI) #29's Foley catheter bag was in a privacy bag and not visible from the hallway on 05/02/18. This deficient practice affected RI #29, one of one resident sampled with a Foley catheter. Findings Include: A review of a facility policy titled, Care of Urinary Catheter, with an effective date of 12/09/04, and a revision date of 1/12, documented: . PR[NAME]EDURE: . 10. Assure the drainage bag is placed in a privacy bag. RI #29 was admitted to the facility on [DATE], and readmitted on [DATE], with [DIAGNOSES REDACTED]. RI #29's Foley catheter care plan, with a problem onset date of 03/10/10, documented the following approach: . * privacy bag . A Quarterly Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 04/09/18, assessed RI #29 as having an indwelling catheter. RI #29's (MONTH) (YEAR) Physician order [REDACTED].> . 16 french 10 cc (cubic centimeter) foley catheter to dependent drainage. Dx. (diagnoses) [MEDICAL CONDITION] bladder s/t (secondary to) spinal cord injury . Privacy bag . On 05/01/18 at 4:15 p.m., RI #29's Foley urinary catheter bag was observed uncovered, attached to the left bed rail, and was visible from the hallway. On 05/01/18 at 5:44 p.m., RI #29's Foley urinary catheter bag remained uncovered and visible to anyone walking past RI #29's room. At this time, the surveyor conducted an interview with Employee Identifier (EI) #3, RI #29's assigned Certified Nursing Assistant (CNA). The surveyor asked EI #3 how should a resident's Foley catheter be when the resident was in bed. EI #3 said the Foley catheter should be attached to the bed frame. When asked should the Foley catheter bag be visible to any one walking past the resident's room, EI #3 said no. EI #3 said the Foley catheter bag should be on the opposite side of the door (bed) or covered. The surveyor asked EI #3 what type of concern/issue would it be considered when a resident's Foley catheter bag was not covered. EI #3 replied, it would be a dignity issue.	2020-09-01