cms_AL: 31

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
31	EASTVIEW REHABILITATION & HEALTHCARE CENTER	15014	7755 FOURTH AVENUE SOUTH	BIRMINGHAM	AL	35206	2018-01-25	676	D	0	1	I9JH11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, observations, medical record review, and a review of Fundamentals of Nursing Chapter 28 the facility failed to ensure palm guards were applied to Resident Identifier (RI) #32's hands as directed by physician's orders [REDACTED].#32 with a call bell he/she could activate if assistance is needed. These deficient practices affected one of one residents sampled for rehabilitation and restorative. Findings Include: A review of Potter and Perry Fundamentals of Nursing with a copyright of (YEAR) Chapter 28 Immobility, page 408 and 414 documented: . Nurses intervene to maintain maximum Range of Motion (ROM) in unaffected joints and . collaborate with physical therapists to design interventions to strengthen affected muscles, and joints . Fingers and Thumb. The ROM in the fingers and thumb enables a patient to perform Activities of Daily Living (ADLs) and activities requiring fine-motor skills . Resident Identifier (RI) #32 was readmitted to the facility on [DATE] with [DIAGNOSES REDACTED]. A review of RI #32's annual Minimum Data Set (MDS) with an Assessment Reference Date of 01/01/2018 revealed RI #32's Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. Section G of the MDS, for Functional Status documented RI #32 was totally dependent on staff for all activities of daily living (ADL) and Range of Motion (ROM) upper extremity impairment on both sides. A review of RI #32's (MONTH) (YEAR) Physician order [REDACTED]. On 01/24/18 at 10:05 AM, RI #32's call button was secured to the gown. RI #32 was asked if he/she could push the call button. RI #32 attempted to push the call button but could not due to bilateral contractures to hands. RI #32 was observed not having palm guards in his/her hands. On 01/24/18 at 12:30 PM, RI #32 was observed not having palm guards in his/her hands. On 01/25/18 03:30 PM, the surveyor and Employee Identifier (EI) #3 Registered Nurse (RN) Unit Manager to RI #32's room assess hands. EI #3 attempted to open the fingers on bilateral hands with no success. EI #3 was asked if there were palm guards in RI #32's hands bilaterally. EI #3 said no. On 01/25/18 at 02:56 PM, an interview was conducted with EI #3, Registered Nurse/Unit Manager. EI #3 was asked what did the (MONTH) Physician order [REDACTED]. EI #3 said to have the palm guards to bilateral hands. EI #3 was asked why should RI #32 have the palm guards. EI #3 said for contracture management. EI #3 was asked who was responsible to ensure RI #32 had the palm guards per Physician order. EI #3 said the nurse. EI #3 was asked if the Physician order [REDACTED].#3 said no. On 01/25/18 at 03:00 PM, EI #3 to RI #32's room with the surveyor. EI #3 asked RI #32 to push the call button. RI #32 was unable to push the call button due to hands being contracted. EI #3 was asked how did RI #32 make the staff aware when he/she needed something. EI #3 said RI #32 would call out or the roommate would let someone know. EI #3 said she should have gotten RI #32 another type of call button that he/ she could use. EI #3 was asked why could RI #32 not push the call button. EI #3 said because of the hand contractures. EI #3 asked what was the potential harm in RI #32 not being able to push the call button. EI #3 said it puts RI #32 at risk for aspiration and danger.	2020-09-01