cms_AZ: 66

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
66 HAVEN OF SCOTTSDALE 35059 3293 NORTH DRINKWATER BOULEVARD SCOTTSDALE AZ 85251 2019-01-25 689 E 0 1 NNTV11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, staff interview, facility documents and policy and procedure, the facility failed to ensure safe water temperatures were maintained in eight resident rooms. The facility census was 41. Findings include: During an observation conducted on 1/22/19 at 2:35 p.m., the water temperature of the restroom sink in room [ROOM NUMBER]-1 was checked and was 135 degrees Fahrenheit (F). This resident was able to use the restroom sink. During an observation conducted on 1/22/19 at 2:58 p.m., the water temperature in room [ROOM NUMBER]-1 was 130 degrees F. This resident was able to use the restroom. At this time, a family member stated sometimes the water feels a little hot and we are just careful. Additional water temperatures were taken on 1/22/19 at 3:43 p.m. and the following was found: -room [ROOM NUMBER]: water temperature was 126.6 degrees F -room [ROOM NUMBER]: water temperature was 126.2 degrees F -room [ROOM NUMBER]: water temperature was 130 degrees F -room [ROOM NUMBER]: water temperature was 135 degrees F -room [ROOM NUMBER]: water temperature was 134 degrees F -room [ROOM NUMBER]: water temperature was 131.5 degrees F On 1/22/19 at 4:15 p.m., the Environmental Services manager (staff #5) tested the water temperatures and the following was observed: -room [ROOM NUMBER]: water temperature was 122 degrees F -room [ROOM NUMBER]: water temperature was 132 degrees F -room [ROOM NUMBER]: water temperature was 136 degrees F -room [ROOM NUMBER]: water temperature was 118 degrees F -room [ROOM NUMBER]: water temperature was 140 degrees F -room [ROOM NUMBER]: water temperature was 124 degrees F During this observation, an interview was conducted with staff #5, who stated that water temperatures are checked weekly and documented and there have not been any problems. He stated the water should be run for 3-5 minutes before checking the temperatures. The facility immediately turned down the water temperatures at least twice and monitored the water temperatures every hour throughout the night. Facility water temperature logs were reviewed with the following results: -January (YEAR): all temperatures were either 101, 102 or 103 degrees F. -February (YEAR) through (MONTH) (YEAR): all temperatures were either 101, 102 or 103 degrees F. -August (YEAR): all temperatures were either 103 or 104 degrees F. -September (YEAR) through (MONTH) (YEAR): all temperatures were either 101, 102 or 103 degrees F. Review of the facility temperature log for (MONTH) 2019 revealed the water temperatures were checked on 1/21/19 and all temperatures in every room were either 101, 102 or 103 degrees F. In an interview conducted on 1/23/19 at 8:00 a.m. with the Executive Director (staff #40), he stated that he did not know why the water temperatures were so consistent on previous temperature checks. He said the facility has monitored the water temperatures throughout the night and have made adjustments to the temperature settings to get them back in the required ranges. He stated that he takes this very seriously and understands residents could be easily burned with high water temperatures. Staff #40 further stated he has made sure the team checking the temperatures are using good thermometers (new ones were purchased) and are following the correct procedures to check the temperatures accurately. Follow-up water temperatures were conducted on 1/23/19 at 11:20 a.m. with the following results: -room [ROOM NUMBER]: water temperature was 113 degrees F -room [ROOM NUMBER]: water temperature was 109.2 degrees F -room [ROOM NUMBER]: water temperature was 110.2 degrees F -room [ROOM NUMBER]: water temperature 103.2 degrees F -room [ROOM NUMBER]: water temperature 104.2 degrees F -room [ROOM NUMBER]: water temperature 96.5 degrees F -Shower 1: water temperature 98 degrees F Follow up water temperatures were taken on 1/25/19 at 8:05 a.m. and revealed the following: -room [ROOM NUMBER]: water temperature was 110.9 degrees F -room [ROOM NUMBER]: water temperature was 105.9 degrees F -room [ROOM NUMBER]: water temperature was 104.9 degrees F -room [ROOM NUMBER]: water temperature was 106.6 degrees F -Shower 2: water temperature was 104.3 degrees F Review of the facility policy titled Accidents and Supervision - Water Temperatures (undated), revealed the purpose of recording water temperatures is to assure that the facility is remaining free from [MEDICAL CONDITION] scalds, and that issues are addressed in a prompt and consistent manner. The policy described the process which included: the dial thermometer should be calibrated on a regular basis; insert the step of the thermometer under the running water, while also holding your hand under the water to see how the water feels on skin and test water at various locations throughout the facility. The policy further included that patient water temperatures should be between 105 F and 115 F, and that State law should be followed with temperatures between 95 F to 120 F. Results of testing should be recorded, discrepancies noted, water setting adjusted as needed, and retest as necessary. 2020-09-01