cms_AL: 84

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
84 HATLEY HEALTH CARE INC 15023 300 MEDICAL CENTER DRIVE CLANTON AL 35045 2018-05-10 641 D 0 1 YKK111 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to ensure Resident Identifier (RI) #89's Quarterly Minimum Data Set (MDS) assessment with an Assessment Reference Date (ARD) of 03/27/18, was coded correctly under urinary continence for RI #89's use of a Foley catheter. Findings Include: RI #89 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. A review of a Quarterly MDS dated [DATE], revealed RI #89 was coded as always continent. On 05/08/18 at 5:00 p.m., RI #89 was observed in bed. A Foley catheter was observed hanging to the left side of the bed contained in a privacy bag. On 05/10/18 at 1:50 p.m., an interview was conducted with Employee Identifier (EI) #4, a Registered Nurse (RN)/MDS Coordinator. EI #4 was asked if RI #89 had a Foley catheter. EI #4 replied, yes. EI #4 was asked, when was RI #89's Foley catheter ordered. EI #4 replied she was not sure, RI #89 had it a long time. EI #4 was asked how should the urinary continence section on the 03/27/18, MDS be coded. EI #4 replied, Foley catheter and not rated which was a 9. EI #4 was asked in the under urinary continence section, it was coded as 0 always continent, would that assessment be accurate. EI #4 replied, no. EI #4 was asked what was the risk of the MDS not being coded accurately. EI #4 replied, some one may not realize the resident had a Foley catheter. 2020-09-01