cms_AZ: 15

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
15	SANTA ROSA CARE CENTER	35004	1650 NORTH SANTA ROSA AVENUE	TUCSON	AZ	85712	2016-09-14	253	E	0	1	MTU811	Based on observations, resident and staff interviews and facility documentation, the facility failed to provide housekeeping and maintenance services necessary to maintain a comfortable interior for residents, and failed to ensure odor levels were acceptable throughout the facility. Findings include: -An environmental tour was conducted on (MONTH) 14, (YEAR) at 1:00 p.m., with the housekeeping director (staff #23) and the maintenance director (staff #44). Prior to the tour, staff #23 stated that the staffing coordinator does the walk through rounds daily on each of the facility's five units, so that every resident room is inspected weekly for safety issues and broken items. Staff #23 further stated that if repairs need to be made, a work order is completed and given to the maintenance director. At this same time, staff #44 stated that when he receives a work order, he tries to repair the area the same day. The following concerns were observed during the environmental tour: -Room A12: There was an area on the wall near the bathroom door where the wallpaper was peeling. The area was approximately 16 inches long. Also, near the toilet there was an area of cove base which was approximately 18 inch long, which was loose. An interview was conducted with staff #44 who stated that he received a work order last month regarding the wallpaper and that he will have to tear all of the wallpaper off the wall, as he can't glue it back on. He stated that he was not aware of the loose cove base in the bathroom. Review of facility documentation revealed that a Maintenance Work Order for the wallpaper was completed on (MONTH) 29, (YEAR). -Room A8: Under the entire width of the window on the wall, the paint was scraped/gouged. An interview was conducted with staff #44 who stated that it was difficult to repair and paint resident rooms, when the residents are in the rooms. The documentation from the Morning Walk Through Rounds dated (MONTH) 23 and 30, (YEAR) included to paint the window wall. -Room A3: The wallpaper around the nightlight on the wall near the door was observed to be torn. An interview was conducted with staff #44. He stated that he had to cut the wallpaper in order to repair it and that he had a work order regarding this. Review of facility documentation revealed that a Maintenance Work Order for the wallpaper was dated (MONTH) 30, (YEAR). -Room A24: There were several slats which were missing from the window blinds. An interview was conducted with the maintenance director. He stated that he was probably told about this, but probably overlooked it. Review of the Morning Walk Through Rounds documentation dated (MONTH) 29, (YEAR) revealed there was no mention regarding the missing slats. -Room B11: There were multiple screw/nail holes and chipped paint on the wall near the door. An interview was conducted with staff #44 on (MONTH) 16, (YEAR). He stated that he was not aware of how long the wall had been in need of repair. The Morning Walk Through Rounds documentation dated (MONTH) 31, (YEAR) did not include that the wall needed to be repaired. An interview was conducted with the Administrator on (MONTH) 14, (YEAR) at 3:30 p.m. The Administrator stated that the facility did not have a policy on routine maintenance. The Administrator stated that rounds are supposed to be done daily and work orders filled out if repairs need to be made. -During an interview with a resident on the A hall on (MONTH) 13, (YEAR) at 10:50 a.m., the resident stated that the whole facility smelled like dirt and bowel movements. During the survey on (MONTH) 13 and 14, (YEAR), pervasive odors were noted throughout the facility. The odors were noted to be the strongest on the central hallway, on the A hall, and on the La Onieta unit. An environmental tour was conducted on (MONTH) 14, (YEAR) at 1:00 p.m., with the housekeeping director (staff #23) and the maintenance director (staff #44). At this time, strong urine odors were noted in two rooms on the A hall. An interview was conducted with staff #23 on (MONTH) 14, (YEAR) at 1:20 p.m. Staff #23 stated that sometimes the facility has odors when residents are being changed or after an incontinent episode. She said that she ordered new chemicals, which pretty much got rid of the odor problem within the facility. An interview was conducted with the Administrator (staff #8) on (MONTH) 14, (YEAR) at 3:30 p.m., who stated that the facility did not have a policy regarding the prevention of odors, but facility rounds are supposed to be done daily. The Administrator further stated that environmental issues are discussed every morning in the facility's department head meeting.	2020-09-01