cms_AL: 7

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
7	COOSA VALLEY HEALTHCARE CENTER	15010	260 WEST WALNUT STREET	SYLACAUGA	AL	35150	2017-04-06	279	D	0	1	0F3P11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interview, the facility failed to ensure care plans were developed for Oxygen usage for Resident Identifier (RI) #9 and RI #17. This affected two of 15 sampled residents whose plans of care were reviewed. Findings Include: 1) Resident Identifier (RI) #9 was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. A review of RI #9's Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 3/5/17 revealed under Section O: Special Treatments, Procedures, and Programs for Respiratory Treatment, RI #9 was using Oxygen during this assessment period. A review of RI #9's (MONTH) physician's orders [REDACTED]. . O2 (oxygen) @ (at) 4L(liter)/min (minute) via (by way of) NC (nasal cannula) A review of RI #9's care plans revealed that RI #9 did not have an Oxygen care plan. On 4/6/17 at 1:49 p.m., the surveyor conducted an interview with Employee Identifier (EI) #8, the MDS Coordinator. The surveyor asked EI #8 was RI #9 using Oxygen. EI #8 said she thought RI #9 was put on Oxygen. The surveyor asked EI #8 if RI #9 had a care plan for the Oxygen usage. EI #8 replied, No Ma'am. The surveyor asked EI #8 should RI #9 have a care plan for the Oxygen usage. EI #8 replied, yes. 2) RI #17 was admitted to the facility on [DATE], with a [DIAGNOSES REDACTED]. A Quarterly MDS assessment with an ARD of 2/9/17, revealed RI #17 was receiving Oxygen during this assessment period. On 4/3/17 at 5:22 p.m., during the initial tour of the facility, RI #17 was observed with Oxygen on at 2 Liters per minute by way of a nasal cannula/Concentrator. On 4/4/17 at 4:41 p.m., RI #17 was again observed with the Oxygen on at 2 Liters per minute by way of a nasal cannula/Concentrator. On 4/5/17 at 2:42 p.m., RI #17's Oxygen remained at 2 Liters per minute by way of a nasal cannula/Concentrator. On 4/6/17 at 8:22 a.m., RI #17 was again observed with Oxygen on at 2 Liters per minute by way of a nasal cannula/Concentrator. On 4/6/17 at 1:49 p.m., the surveyor conducted an interview with EI #8. The surveyor asked EI #8 who was responsible for developing care plans. EI #8 said she was. The surveyor asked EI #8 should residents receiving Oxygen, whether routine or as needed (PRN) have a care plan developed for the oxygen usage. EI #8 replied, Yes Ma'am. The surveyor asked EI #8 did RI #17 use Oxygen. EI #8 said RI #17 did. The surveyor asked EI #8, looking at RI #17's care plans, was a care plan developed for the Oxygen usage. EI #8 said RI #17 did not have a care plan for the Oxygen usage. On 4/6/17 at 4:03 p.m., the surveyor conducted an interview with the Director of Nursing, EI #2. The surveyor asked EI #2 should a resident receiving Oxygen have a care plan developed. EI #2 replied, Yes. The surveyor asked EI #2 what was the rationale for having a care plan. EI #2 said to communicate with the staff members the needs of the resident.	2020-09-01