cms_AZ: 86

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
86 DESERT HAVEN CARE CENTER 35062 2645 EAST THOMAS ROAD PHOENIX AZ 85016 2017-02-03 279 D 0 1 TPN311 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record reviews, staff interviews and policy review, the facility failed to ensure that comprehensive care plans regarding ADLs (Activities of Daily Living) were developed for two residents (#40 and #88). Findings include: -Resident #40 was admitted on (MONTH) 26, 2013, with [DIAGNOSES REDACTED]. A review of the quarterly MDS (Minimum Data Set) assessment dated (MONTH) 16, (YEAR), revealed in Section G, Functional Status that the resident required supervision-oversight/cueing with ADLS. An annual MDS assessment dated (MONTH) 18, (YEAR), included the resident now required limited to extensive assistance with ADLs. However, no care plan was developed regarding the resident's ADL needs. An interview was conducted on (MONTH) 1, (YEAR) at 12:50 p.m. with the MDS staff (staff #121), who stated that the MDS assessment was coded to reflect the resident's increased level assistance needed. A second interview was conducted in (MONTH) 1, (YEAR) at 1:30 p.m. with staff #121. Following a review of the (MONTH) 18, (YEAR) MDS assessment, staff #121 stated that although Section V. of the MDS assessment (CAA: Care Area Assessment) did not automatically trigger for initiation of an ADL care plan, she should have developed an ADL care plan, based on the documentation of the resident's increased level of assistance. -Resident #88 was admitted (MONTH) 30, (YEAR), with [DIAGNOSES REDACTED]. A admission MDS assessment dated (MONTH) 7, (YEAR), assessed the resident as requiring extensive assistance to total dependence, with ADLs. However, in Section V., the care area for ADLs did not trigger. A quarterly MDS assessment dated (MONTH) 7, (YEAR), also assessed the resident as requiring extensive assistance to total dependence, with ADLs. Review of the clinical record revealed no care plan was developed based on the resident's ADL needs. During an interview conducted on (MONTH) 1, (YEAR) at 10:48 a.m., the MDS coordinator (staff #121) stated she was unable to state why Section V. did not trigger for ADLs for care planning. Staff #121 stated ADLs should have triggered and ADLs should be care planned. During an interview conducted on (MONTH) 1, (YEAR) at 12:35 p.m., the Director of Nursing (staff #129) stated he would expect an ADL care plan be developed for this resident. A facility policy titled, Care Area Assessments included that Care Area Assessments will be used to help analyze data obtained from the MDS and to develop individualized care plans. The policy also included the following: 3. The IDT (Interdisciplinary Team) will employ tools and resources during the CAA process, including evidenced-based research and clinical practice guidelines, along with sound clinical decision making and problem-solving. Another facility policy titled, Care Plans Goals and Objectives included Care plans shall incorporate goals and objectives that lead to the resident's highest obtainable level of independence. 2020-09-01