cms_AZ: 32

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
32 DESERT TERRACE HEALTHCARE CENTER 35014 2509 NORTH 24TH STREET PHOENIX AZ 85008 2016-11-02 412 D 0 1 VT7X11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, interviews, and facility policy, the facility failed to ensure one resident (#124) was assisted with dental services. Findings include: Resident #124 was readmitted on (MONTH) 19, 2014, with [DIAGNOSES REDACTED]. A review of the clinical record revealed a physician's orders [REDACTED]. However, a dental consultation report was unable to be located in the clinical record. The resident was not interviewable, with a BIMS (Brief Interview for Mental Status) score of 3, which indicated severe cognitive impairment. An interview was conducted on (MONTH) 2, (YEAR) at 8:30 a.m., with a LPN (Licensed Practical Nurse-staff #44), who stated that she recalled that the resident had received a dental consultation and that recommendations had been made to have several teeth extractions but was unable to recall when the dental consultation was provided. Staff #44 stated that the social services staff would have been responsible to arrange for the dental consultation and to follow up on any recommendations that were made. An interview was conducted on (MONTH) 2, (YEAR) at 8:45 a.m., with Social Service staff (staff #91). She confirmed that it was her responsibility to arrange for the dental consultation and follow up regarding any recommendations. Following a review of the clinical record, inclusive of social services documentation, staff #91 stated that she was unable to locate any documentation regarding this dental consultation. Staff #91 stated she would now need to call the dental office to obtain a copy of the consultation and recommendations. On (MONTH) 2, (YEAR), the facility provided a copy of the dental consultation, which was dated (MONTH) 7, (YEAR). The consultation included that the resident required multiple tooth extractions. Another interview was conducted on (MONTH) 2, (YEAR) at 10:30 a.m., with the DON (Director of Nursing-staff #100), who stated that the social services staff should have followed up with the dental provider after the consultation to ensure that any recommendations were initiated. An interview was conducted on (MONTH) 2, (YEAR) with the social service staff (staff #91), who confirmed that she had not followed up with the dental provider but was unable to state why. A facility policy, titled, Social Services Policy and Procedure Manual-Subject Dental, Optometry and Audiology Evaluations, included, It is the policy of this facility that Social Services staff will coordinate Dental, Optometry, and Audiology evaluations for resident. The policy also included the following: 1. Social Services will maintain a system to monitor the Dental, Optometry, and Audiology evaluations. 3. Evaluation dates will be documented on the Social Services concrete needs sheet and/or in the Social Services progress notes. 2020-09-01