cms_AZ: 37

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
37 DESERT TERRACE HEALTHCARE CENTER 35014 2509 NORTH 24TH STREET PHOENIX AZ 85008 2017-12-05 684 D 0 1 6GPJ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, resident and staff interviews, facility documentation and policy review, the facility failed to ensure the necessary treatment and services were provided for one resident (#147), as ordered by the physician. Findings include: Resident #147 was admitted on (MONTH) 20, (YEAR), with [DIAGNOSES REDACTED]. The Initial Admission Record dated (MONTH) 20, (YEAR) included the resident was alert and oriented to time, place and person. Skin integrity findings included the resident had a surgical wound to the left outer ankle. According to the skin integrity care plan dated (MONTH) 21, (YEAR), the resident had actual skin impairment. A goal included that the surgical wounds to the left lower extremity (LLE) would heal. However, the locations of the wounds to the left lower extremity were not identified. An intervention included following the facility protocol for treatment of [REDACTED]. A physician's orders [REDACTED]. A Weekly Skilled Review note dated (MONTH) 28, (YEAR) included the resident received wound care twice a day to the lateral side of the LLE. Review of the Wound Administration Record from (MONTH) 22 through 30, (YEAR) revealed the order to cleanse the left outer leg with wound cleanser, apply Dakin soaked gauze, apply an ABD pad and wrap with Kerlix, twice daily. However, the documentation showed that the treatment was only provided once daily, instead of twice daily as ordered. An interview with the resident was conducted on (MONTH) 4, (YEAR) at 1:39 p.m. She stated that she receives wound treatment to her left lower leg once daily. An interview with a wound nurse (staff #44) was conducted on (MONTH) 4, (YEAR) at 1:42 p.m. She stated the wound care was ordered once daily to the left lower leg. An interview with another wound nurse (staff #48) was conducted on (MONTH) 5, (YEAR) at 8:56 a.m. She stated that the resident receives daily wound treatments to the left outer leg. At this time, the wound treatment orders for the left outer leg was conducted with staff #48. She stated that the frequency of wound treatment for [REDACTED]. A review of the Wound Administration Record was then conducted with staff #48, who stated the record only shows that the treatment was done on the day shift and was not done on the evening shift. An interview with the Assistance Director of Nursing (ADON/staff #61) was conducted on (MONTH) 5, (YEAR) at 1:15 p.m. She stated the wound treatment should be done as ordered by the physician. Staff #61 stated that if a treatment is ordered twice daily, it should be done on the day shift and on the evening shift. Review of a facility policy regarding Physician order [REDACTED]. 2020-09-01