cms_AL: 99

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
99 WETUMPKA HEALTH AND REHABILITATION, LLC 15027 1825 HOLTVILLE ROAD WETUMPKA AL 36092 2017-02-23 325 D 0 1 6GSS11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interviews and a review of a facility policy titled Therapeutic Supplements, the facility failed to ensure RI (Resident Identifier) # 14 a resident at risk for weight loss received a magic cup as ordered with the lunch and dinner meal on 2/22/17. This affected one of 12 sampled residents who were observed for meals on 2/22/17. Findings Include: A review of a facility policy titled, Therapeutic Supplements with an effective date of (MONTH) 13, 2013 documented the following: .PURPOSE: Residents may require supplementation of their meal plan in order to attain or maintain acceptable parameters of nutrition . RI #14 was readmitted to the facility on [DATE] with [DIAGNOSES REDACTED]. A review of RI #14's weight change history documented the following: .9/6/16 Weight 89lbs (pounds) 10/4/2016 Weight 94lbs, 11/10/2016 Weight 94lbs, 12/10/2016 Weight 90lbs, 1/3/2017 Weight 90lbs, 2/7/2017 Weight 97lbs and 02/14/2017 Weight 96lbs. A review of RI #14's Departmental Notes documented the following: .2-15-2017 RD NOTE REVIEWED. MAGIC CUP ADDED AT LUNCH AND DINNER AS RESIDENT WILL ALLOW . A review of RI # 14's Physician order [REDACTED].MAGIC CUP WITH LUNCH AND DINNER AS RESIDENT WILL ALLOW . Meal observations: On 2/22/17 at 11:25 a.m. RI #14's lunch meal was observed. RI #14 received a pureed meal to include ham, cabbage, butterbeans, cornbread and pie. No magic cup was observed on the tray. The meal was completed at 11:50 a.m. On 2/22/17 at 5:00 p.m. RI #14's dinner meal was observed. RI #14 received a pureed meal to include potatoes/gravy, meat, okra, bread and dessert. No magic cup was observed on the tray. The meal was completed at 5:30 p.m. On 2/23/17 at 9:50 a.m., an interview was conducted with EI (Employee Identifier) # 3, Dietary Manager. EI #3 was asked if RI #14 was supposed to receive a magic cup with lunch and dinner. EI #3 responded as of (MONTH) 15th according to the medical order. EI #3 was asked why the magic cup was ordered. EI #3 responded probably for weight maintenance. EI #3 was asked who was responsible for ensuring a magic cup was served with lunch and dinner. EI #3 responded the kitchen would be responsible for putting it on the tray. EI #3 was asked what was the harm of RI #14 not receiving a magic cup as ordered. EI #3 responded RI #14 would lose the calories. On 2/23/17 at 10:10 a.m., an interview was conducted with EI #6, Registered Dietitian. EI #6 was asked if RI #14 was supposed to receive a magic cup with lunch and dinner. EI #6 responded it was a recommendation she made on 2/13/15. EI #6 was asked why the magic cup was recommended. EI #6 responded RI #14's recent intake had been inconsistent so a supplement was suggested at lunch and supper. EI #6 was asked who was responsible for ensuring the magic cup was placed on the tray. EI #6 responded the dietary manager or myself. EI #6 was asked if RI #14 was at risk of weight loss. EI #6 responded yes because of inconsistent intake. On 2/23/17 at 10:20 a.m., an interview was conducted with EI #7, Registered Nurse (RN). EI # 7 was asked if she completed the order for a magic cup for RI #14. EI #7 responded yes on 2/15/17. EI #7 was asked if RI #14 should have started receiving the magic cup on 2/15/17. EI #7 responded it was late in the day so it would have started on 2/16/17. EI #7 was asked why the magic cup was ordered for RI #14. EI #7 responded he/she had lost one pound and we added it to ensure he/she did not lose anymore weight. EI #7 was asked if RI #14 should have received a magic cup on 2/22/17 with lunch and supper. EI #7 responded yes. 2020-09-01