cms_AL: 29

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

rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
29 EASTVIEW REHABILITATION & HEALTHCARE CENTER 15014 7755 FOURTH AVENUE SOUTH BIRMINGHAM AL 35206 2018-01-25 636 D 0 1 I9JH11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, interview with staff and review of a facility policy titled ADMINISTRATIVE POLICY, the facility failed to ensure Resident Identifier (RI) #285's fall risk assessment was completed upon admission. This deficient practice affected one of one residents investigated for falls. Findings Include: A review of a facility policy titled, ADMINISTRATIVE POLICY with a revised date of 10/2013 documented the following: . PURPOSE: Residents are assessed, . to identify care needs and to develop a plan of care. STANDARD: According to federal regulations, the facility conducts initially . a comprehensive, accurate . assessment of each resident's functional capacity . RI #285 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. A review of RI #285's 14 day assessment Minimum Data Set (MDS) with an Assessment Reference Date of 12/28/2017 revealed RI #285's Brief Interview for Mental Status score of 7, indicating cognition was severely impaired. Section G of the MDS, documented RI #285 required two plus person physical assist with transfers. On 01/24/18 at 6:00 PM, RI #285 told the surveyor he/she had a fall on 01/19/2018 when going to the bathroom with one staff member assisting him/her. RI #285 said he/she hurt his right side and hit his/her upper right forehead. He/she said he/she had pain to the right side of his/her abdominal area. RI #285 said an X-ray was done. RI #285 said he/she had tennis shoes on and the nurse took him/her by wheelchair into the bathroom and when he/she was trying to get back into the wheelchair from the toilet he/she fell . RI #285 said he/she was told there were no fractures. RI #285 said usually with his/her transfers that there is always two staff members, but this time there was only one staff member. On 01/25/2018 at 08:30 AM, RI #285's fall risk assessment dated [DATE] was reviewed on the computer and observed to be blank. The surveyor asked for a copy of the fall risk assessment. Employee Identifier (EI) #1, Registered Nurse (RN) Director of Nursing (DON) and EI #2, RN, MDS Coordinator provided a filled out/completed fall risk assessment hand signed and dated 01/25/2018 (no time was documented). On 01/25/2018 at 9:15 AM, EI #2 was asked when was the fall risk assessment filled out. EI #2 said she had filled it out on 01/25/2018 at 9:00 AM. EI #2 was asked if the fall risk assessment had been completed on admission. EI #2 said, no and this was the first fall risk assessment done on RI #285. EI #2 was asked if the fall assessment was completed in the computer, why was it not signed in the computer. EI #2 said because she wanted to talk to the person who initially did the assessment. EI #2 was asked why was the fall assessment hand signed by herself and EI #1. EI #2 said, because it was never done initially. EI #2 was asked who was responsible to complete the . Fall Risk Assessment. EI #2 said, the admitting nurse. 2020-09-01