cms_AL: 4

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
4	COOSA VALLEY HEALTHCARE CENTER	15010	260 WEST WALNUT STREET	SYLACAUGA	AL	35150	2017-04-06	241	D	0	1	0F3P11	Based on observations, interviews and review of a facility policy titled Promoting /Maintaining Resident Dignity, the facility failed to ensure staff knocked on residents' doors prior to entering the residents room. This was observed on three of four days of the survey, affected Room Locator (RL) #1, RL #2, RL #3, RL #4, RI #5 and affected two of three units in the facility. Findings Include: A review of a facility policy titled Promoting /Maintaining Resident Dignity, with a revision date of 8/15/15 documented the following: POLICY: It is the practice of this facility to promote care for residents in a manner and in an environment that maintains or enhances each resident's dignity and respect. Compliance Guidelines: .11. Respect the resident's living space, personal possessions. Knock on door prior to entering room . On 4/3/17 at 7:00 p.m., the surveyor observed Employee Identifier (EI) #10 walk into RL #1, then walk into RL #2, and then walk into RL #3 without knocking. On 4/4/17 at 12:05 p.m., the surveyor observed EI #11 walk into RL #4 without knocking. On 4/5/2017 at 11:05 a.m., the surveyor was conducting a resident interview with EI #5 and observed a staff member enter RL #5 without knocking. On 4/6/17 at 2:10 p.m., an interview was conducted with EI #11, a Registered Nurse (RN). EI #11 was asked if she remembered entering RL #4 without knocking. EI #11 replied, yes. EI #11 was asked how was she trained to enter a resident's room. EI #11 replied, to knock first. EI #11 was asked what was the facility's policy on entering a residents room. EI #11 replied, to knock first. On 4/6/17 at 3:15 p.m., an interview was conducted with EI #10, a Certified Nursing Assistant (CNA). EI #10 was asked how she was trained as a CNA to enter a resident's room. EI #10 replied, to knock then wait for them to give permission to come in. EI #10 was asked what was the facility's policy on how to enter a resident's room. EI #10 replied, to knock and wait for permission to come in. The surveyor asked EI #10 what type of issue was it to enter a resident's room without knocking. EI #10 replied, a dignity issue. On 4/6/17 at 3:40 p.m., an interview was conducted with EI #12, a Licensed Practical Nurse (LPN). EI #12 was asked if she remembered entering RI #5's room yesterday while the surveyor was in the room. EI #12 replied, yes. EI #12 was asked if she knocked on the door before entering. EI #12 replied, she thought she did. EI #12 was asked what was the training the facility gave in regards to entering a resident's room. EI #12 replied knock and wait for acknowledgement. EI #12 was asked what was the policy upon entering a resident's room. EI #12 replied, knock and introduce yourself. EI #12 was asked what was the potential harm of not knocking when entering a resident's room. EI #12 replied, being disrespectful and invading their privacy.	2020-09-01