cms_AZ: 22

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
22 SANTA ROSA CARE CENTER 35004 1650 NORTH SANTA ROSA AVENUE TUCSON AZ 85712 2017-10-05 323 D 0 1 2ZZS11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, clinical record review, staff interviews, and policy review, the facility failed to ensure one resident (#33) was free from an accident hazard by not following physician orders. Findings include: Resident #33 was admitted (MONTH) 21, 2008 with [DIAGNOSES REDACTED]. Two physician's orders [REDACTED]. A care plan updated on (MONTH) 30, (YEAR), regarding the resident's risk for injury included the resident had actual and a potential for injury related to sensory deficits, lack of awareness, and limited mobility. Interventions for the care plan included removing hazards from the environment and bed bolsters for the resident to have for safety, comfort, and positioning. An MDS (Minimum Data set) assessment dated (MONTH) 2, (YEAR), revealed the resident's cognitive skills for daily decision making were severely impaired. An observation of the resident was conducted (MONTH) 3, (YEAR) at 8:46 a.m. The resident was lying in bed with one side of the bed against the wall. On the opposite side of the bed, the mattress was observed to have a pillow and a blue wedge underneath it to tilt the mattress toward the wall. The whole length of the mattress was propped up with these items. The resident was non-interviewable at this time. An additional observation was conducted (MONTH) 3, (YEAR) at 11:16 a.m. The resident was observed lying in bed with the observed same items wedged underneath the mattress. An observation of the resident was conducted (MONTH) 4, (YEAR) at 12:17 p.m. The resident was lying in bed with the same items wedged underneath the mattress of the bed. The resident was sleeping at this time. In an interview conducted on (MONTH) 5, (YEAR) at 12:23 p.m. with the unit coordinator (staff #78), she stated the resident had an order for [REDACTED]. An observation was made of the resident with staff #78. The resident was lying in bed with the pillow and wedge under the mattress as in previous observations. Staff #78 stated that is not what is meant by bed bolsters and that she was going to find out if maybe bed bolsters were unavailable for some reason. At 12:31 p.m. the same day, staff #78 stated that the pillows should not have been there and the proper bed bolster would be only one wedge which would be in the middle of the resident's bed. In an interview conducted (MONTH) 5, (YEAR) at 12:35 p.m. with the Director of Nursing (DON/staff #107), he stated when a resident has an order for [REDACTED]. Staff #107 also stated that bolsters are to help with positioning the resident and that the bolsters can be obtained from central supply. During this interview, a staff member was observed carrying a blue triangular wedge with straps into the resident's room. Staff #78 was by the resident's door and stated that was a bed bolster was going to be applied to the resident's bed. Staff #107 stated that his expectation is that no improvisations are to be made with equipment and that staff should have the right equipment to use correctly. A report sheet for this unit was provided, it included that this resident was a fall risk and had bed bolsters. In an interview with the Administrator (staff #9) on (MONTH) 5, (YEAR) at 1:30 p.m., she stated this sheet is used so that staff can be on the same page regarding knowing important information about residents and responsibilities. A policy Follow through of MD Orders included if orders are unable to be carried out for any reason the health care provider should be notified and it should be documented in nurses' notes, including any further orders. 2020-09-01