cms_AZ: 58

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
58 HANDMAKER HOME FOR THE AGING 35016 2221 NORTH ROSEMONT BOULEVARD TUCSON AZ 85712 2017-10-19 278 D 0 1 PP4811 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, staff interview and the Resident Assessment Instrument (RAI) manual, the facility failed to ensure the Minimum Data Set (MDS) assessment was accurate for one resident (#195). Findings include: Resident #195 was admitted (MONTH) 26, (YEAR), with [DIAGNOSES REDACTED]. A physician's orders [REDACTED]. Review of an admission Minimum Data Set (MDS) assessment dated (MONTH) 3, (YEAR) revealed the resident was administered an antipsychotic medication for 7 days during the look back period. However, review of the (MONTH) and (MONTH) (YEAR) Medication Administration Record [REDACTED]. The MDS further included that the resident was administered a hypnotic medication on 5 days, during the look back period. However, review of the (MONTH) 27 through (MONTH) 3, (YEAR) MARs revealed the resident received the hypnotic medication for 3 days during the look back period. In addition, the MDS included that the resident was not administered an anticoagulant medication. However, review of the (MONTH) 27 through (MONTH) 3, (YEAR) MARs revealed the resident was administered an anticoagulant medication for 7 days. The MDS further included the resident was administered an antibiotic medication for 7 days. However, review of the (MONTH) 27 through (MONTH) 3, (YEAR) MARs revealed the resident was administered an antibiotic medication for 5 days during the look back period. An interview was conducted with the MDS coordinator/Assistant Director of Nursing (ADON/staff #8) on (MONTH) 19, (YEAR) at 8:49 a.m. She stated that when coding medications administered on the MDS, the MAR indicated [REDACTED]. Staff #8 stated that the correct coding for the MDS assessment dated (MONTH) 3, (YEAR), should have included that an anticoagulant medication was administered for 7 days, an antipsychotic medication was administered for 6 days, an antibiotic medication was administered for 5 days, and a hypnotic medication was administered for 3 days. She stated that the expectation is that the MDS assessment is accurate. Review of the RAI manual revealed to review the resident's medical record for documentation that certain medications were administered to the resident during the 7 day look-back period and to record the number of days that the select medications were administered to the resident during this time. 2020-09-01