cms_AL: 40

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
40 PLANTATION MANOR NURSING HOME 15015 6450 OLD TUSCALOOSA HIGHWAY P O BOX 97 MC CALLA AL 35111 2018-04-19 700 D 0 1 K9LV11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, interviews, and a review of a facility policy titled, BED RAILS, the facility failed to ensure a bed rail assessment was completed prior to use of bed rails for RI (Resident Identifier) #45. This affected RI #45, one of three residents sampled for bed rail use. Findings Include: A review of an undated facility policy titled, BED RAILS revealed: Policy: The facility must ensure that residents treatment and care in accordance with professional standards if (of) practice, the comprehensive person-centered care plan, and the resident's choices. Policy Explanation and Compliance Guidelines: . 2. If a bed or side rail is used, the facility must ensure correct installation, use and maintenance of bed rails, including but not limited to the following elements: a. Assess the resident for risk of entrapment from bed rails prior to installation. 7. The facility will conduct ongoing assessments to evaluate risks and assure the bed rails is used to meet the residents' needs. A review of the medical record for RI #45 revealed a re-admission date of [DATE], with [DIAGNOSES REDACTED]. A review of the Quarterly MDS dated [DATE], revealed RI #45 used bed rails as a restraint daily. A review of a physician's orders [REDACTED]. 1/2 (half) side rail in place for T&P (Turning and Positioning) . A review of RI #45's care plan, with a next review date of 6/8/18, revealed: Problem/Need . REQUIRES limited to Total ASSISTANCE WITH ADLs (Activities of Daily Living) . Approaches . siderails in place for safety & (and) T&P . A review of the medical record revealed no bed rail assessment was completed for RI #45. An interview was conducted with EI (Employee Identifier) #1, a LPN (Licensed Practical Nurse), on 4/19/18 at 12:26 PM. EI #1 was asked who was responsible for ensuring bed rail assessments were completed. EI #1 answered that he did them when residents were admitted to the facility. EI #1 was asked who was responsible for the assessment after admission. EI #1 answered staff would let him know and he would do it. EI #1 was asked if he was notified of the new rails for RI #45. EI #1 answered no and added he knew changes were made to the mattress and that was what he did. EI #1 was asked when should assessments be done for bed rail use and he answered as soon as bed rails were ordered. EI #1 was asked why should bed rail assessments be completed. EI #1 answered for safety and ongoing assessments to see if the resident's immobility had increased. EI #1 was asked what was the concern of not assessing a resident prior to use of bed rails. EI #1 answered the resident may not get the needed assistance from them. An interview was conducted with EI #5, the Director of Nursing, on 4/19/18 at 4:19 PM. EI #5 was asked who was responsible for ensuring bed rail assessments were completed. EI #5 answered EI #1. EI #5 was asked who was responsible for bed rail assessments after admission and she responded EI #1. EI #5 was asked if EI #1 was notified of the new bed rails for RI #45 and she answered yes. EI #5 was asked when should the assessments be completed for bed rail use. EI #5 answered when use began and per manufacturer's guidelines. EI #5 was asked why should bed rail assessments be completed. EI #5 answered to make sure residents do not become entrapped or restrained. EI #5 was asked what was the concern of not assessing a resident prior to the use of bed rails. EI #5 answered to make sure staff were doing what was appropriate for the resident. 2020-09-01