cms_AL: 57

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
57 ATHENS HEALTH AND REHABILITATION LLC 15016 611 WEST MARKET STREET ATHENS AL 35611 2019-08-29 695 D 0 1 39OM11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interview, record review and review of a facility policy titled, Oxygen Administration , the facility failed to ensure oxygen masks and distilled water bottles were dated. This deficient practice had the potential to effect Resident Identifier (RI) #105, RI #274 and RI #275, three of three residents observed for oxygen therapy. Findings Include: A review of the facility policy titled, Oxygen Administration, effective date 12/08/2005, revealed, . Process: . 11. Cannula's and masks should be changed weekly . 14. O2 cannula/mask should be stored in a plastic bag when not in use. 1) RI #105 was re-admitted to the facility on [DATE]. A [DIAGNOSES REDACTED]. Physician Orders included an order, dated of 7/24/19, for O2 (Oxygen) at 2 L/M (Liter per Minutes) via NC (Nasal Cannula) as needed for SOB (Shortness of Breath). A care plan, dated 8/6/19, included, . Administer oxygen therapy as ordered. On 8/27/19 at 4:02 p.m., the surveyor observed RI #105's NC tubing and distilled water bottle on the oxygen concentrator were not dated. On 8/29/19 at 7:50 a.m., a second observation was made of the NC tubing and the distilled water bottle on the oxygen concentrator not dated 2) RI #274 was admitted to the facility on [DATE]. A [DIAGNOSES REDACTED]. A Physician's Orders included Oxygen at 2 L/M via nasal cannula, dated 8/22/19. A care plan included Administer oxygen therapy as ordered , dated 8/23/19. On 8/27/19 at 0:00 a.m., the surveyor observed RI #274's NC tubing and the distilled water bottle on the oxygen concentrator were not dated. On 8/27/19 at 3:27 p.m., during a second observation the surveyor observed that the NC tubing and distilled water on the oxygen concentrator were not dated. On 8/28/19 at 9:06 a.m., during a third observation the surveyor observed that the NC tubing and the distilled water bottle on the oxygen concentrator were not dated. 3) RI #275 was admitted to the facility on [DATE]. A [DIAGNOSES REDACTED]. A Physician's Order included O2 at 2 L/M prn (give as needed), with an order date of 8/24/19. A care plan included Administer oxygen therapy as ordered, dated 8/25/19. On 8/27/19 at 9:30 a.m., the surveyor observed RI #275's NC tubing was not dated while oxygen was being administered. On 8/28/19 at 9:13 a.m., during a second observation the surveyor observed NC tubing without a date. At this time the surveyor did observe the oxygen mask was dated 8/27/19 but was not in a bag/container. On 8/29/19 at 7:47 a.m., during a third observation the surveyor observed NC tubing without a date. On 8/29/19 at 2:06 p.m., during an interview with Employee Identifier (EI) #2, ADON (Assistance Director of Nursing) the surveyor asked her how often were the nasal cannula's changed. EI #2 said as needed and once per week. The surveyor asked EI #2 when should a date be placed on the NC tubing and the distilled water bottle on the concentrator. EI #2 stated when you change the NC tubing or the distilled water bottle. The surveyor asked EI #2 if there was no date on the NC tubing or distilled water bottle how would you know that they have been changed. EI #2 stated you would not know. The surveyor asked EI #2 what was the policy on dating the NC tubing and the distilled water bottle on the concentrator. EI #2 stated to change it weekly and the bottles are changed as needed if empty. 2020-09-01