cms_AL: 56

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

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rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
56	ATHENS HEALTH AND REHABILITATION LLC	15016	611 WEST MARKET STREET	ATHENS	AL	35611	2019-08-29	658	D	1	1	39OM11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on interview, record review and review of a facility policy titled Medication Orders, the facility failed to ensure Resident Identifier (RI) # 272 received additional [MEDICATION NAME] for three days, as ordered. This deficient practice affected RI #272, one of 25 sampled residents. Finding Include: A facility policy title: Medication Policies Prescriber Medication Orders dated 03/11 revealed the following, Policy Medications are administered only upon the clear, complete, and signed order of a person lawfully authorized to prescribe. Procedures 1. Elements of the Medication Order . (4) Time or frequency of administration. RI #272 was admitted to the facility on [DATE]. A [DIAGNOSES REDACTED]. The Physician order [REDACTED].#272, with an order start date of 4/24/19 and a stop date of 4/26/19. The order was to give [MEDICATION NAME] 20 MG (milligram) tablet- take one tablet everyday at noon for three days. On 8/29/19 at 5:52 p.m., the surveyor conducted an interview with Employee Identifier #3, Register Nurse (RN) Unit Manager. The surveyor asked EI #3 was RI #272 admitted to the facility on [MEDICATION NAME] 20 M[NAME] EI #3 stated yes, they were admitted on [MEDICATION NAME] 20 MG daily. The surveyor asked EI #3 when was the RI #272 discharged from the facility. EI #3 stated it looked like he/she was discharged on [DATE]. The surveyor asked EI #3 did he/she receive the [MEDICATION NAME] the entire time he/she was at the facility. EI #3 stated yes they (nursing) were signing off that he/she got the [MEDICATION NAME]. The surveyor asked EI #3 was there a new order for additional [MEDICATION NAME] 20 MG to be started on 4/24/19 and given for three days. EI #3 stated, give [MEDICATION NAME] 20 MG tablet by mouth at noon daily times three days in addition to morning dose. The surveyor asked EI #3 why was there a new order for the additional [MEDICATION NAME] 20 MG on 4/24/19 to be given one everyday at noon for three days. EI #3 stated she did not know, she guest he/she had some [MEDICAL CONDITION]. The survey asked EI #3 to look at the eMAR (electronic Medication Assessment Record) for (MONTH) 24th through the 26th. The surveyor then asked EI #3 did RI #272 receive [MEDICATION NAME] as ordered by the physician. EI #3 stated, he/she received two of the three dosages. The surveyor asked EI #3 how many dosages of [MEDICATION NAME] were missed. EI #3 stated, one. The surveyor asked EI #3 were the physician's orders [REDACTED]. EI #3 stated no. On 8/29/19 at 2:48 p.m., the surveyor conducted an interview with EI #7, RN Charge Nurse. The surveyor asked EI #7 did she remember RI #272. EI #7 stated yes she did remember the resident. The surveyor asked EI #7 what order did the physician give RI #272 for [MEDICATION NAME]. EI #7 stated, [MEDICATION NAME] 20 MG one table everyday at noon for three days. The surveyor asked EI #7 did she document the order. EI #7 stated it was her hand writing, so it had to be her. The surveyor asked EI #7 how many days was RI #7 given the new order for [MEDICATION NAME]. EI #7 stated it was two days, the 25th and the 26th of April. The surveyor asked EI #7 was the doctor's order followed for the order of [MEDICATION NAME]. EI #7 stated, not according to record. The surveyor asked EI #7 what was given according the records. EI #7 stated it looked like it was given two days. The surveyor asked EI #7 was that the new order given for [MEDICATION NAME] on 4/24/19. EI #7 stated, yes. The surveyor asked EI #7 was that RI #272's only order for [MEDICATION NAME]. EI #7 stated the resident had one other order for 8 am. The surveyor asked EI #7 what was that order. EI #7 stated it was for [MEDICATION NAME] 20 mg one tablet daily for [MEDICAL CONDITION]. The surveyor asked EI #7 why was that new order given. EI #7 stated she was going to assume it was for swelling because that was why they give [MEDICATION NAME]. The surveyor asked EI #7 had she ever observed any swelling on RI #272. EI #7 stated she remembered the resident having swelling in his/her feet and ankles. The surveyor asked EI #7 what were the results of new order of [MEDICATION NAME]. EI #7 stated the swelling went down in his/her feet and ankles. This citation is written as a result of the investigation of complaint/report #AL 292.	2020-09-01