cms_AL: 8

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
8 COOSA VALLEY HEALTHCARE CENTER 15010 260 WEST WALNUT STREET SYLACAUGA AL 35150 2017-04-06 281 D 0 1 0F3P11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interviews, record review, and review of Potter and Perry's FUNDAMENTALS OF NURSING, the facility failed to ensure a licensed nurse, Employee Identifier (EI) #9, did not crush Resident Identifier (RI) #16's 9:00 a.m. medications together on 4/22/16. This deficient practice affected RI #16, one of two residents observed for Gastrostomy tube medication administration, and EI #9, one of three medication nurses observed during the medication pass. The facility's RESIDENT CENSUS AND CONDITIONS OF RESIDENTS form, dated 4/3/2017, documented nine residents in the facility with tube feedings. Findings Include: A review of Potter and Perry's FUNDAMENTALS OF NURSING, Ninth Edition, with a copyright date of (YEAR), page 636, Unit V, Foundations for Nursing Practice documented: . 16. b. Do not mix medications together; administer each separately . RI #16 was originally admitted to the facility on [DATE]. The most recent Quarterly Minimum Data Set assessment with an Assessment Reference Date of 2/1/17, assessed RI #16 as having short and long term memory problems with severely impaired cognitive skills for daily decision making. This assessment also indicated RI #16 had a feeding tube during the assessment period. RI #16's (MONTH) (YEAR) physician's orders [REDACTED].#16's PEG (percutaneous gastrostomy) tube at 9:00 a.m. daily. On 4/4/17 at 8:50 a.m., the surveyor observed EI #9 crush all of the above medications together and poured the crushed medications into a medication cup. EI #9 poured 10 cc's (cubic centimeters) of water into RI #16's syringe then poured the crushed medications into the syringe. On 4/6/17 at 1:23 p.m., the surveyor conducted an interview with EI #9. The surveyor read back the observation of the medication pass done for RI #16 on 4/3/17, and asked EI #9 how should crushed medications be prepared. EI #9 replied, Separately. The surveyor asked EI #9 why did she crush RI #16's medications together. EI #9 said it was just her error and her nerves. The surveyor asked EI #9 what was the standard of practice for administering crushed medications. EI #9 said the medications should be administered separately. 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 what was the standard of practice for administering crushed medications. EI #2 replied, To crush the medication individually . 2020-09-01