cms_AZ: 92
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.
This data as json, copyable
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 92 |
DESERT HAVEN CARE CENTER |
35062 |
2645 EAST THOMAS ROAD |
PHOENIX |
AZ |
85016 |
2017-02-03 |
431 |
E |
0 |
1 |
TPN311 |
Based on observations, staff interviews, facility documentation, and policy review, the facility failed to ensure expired medications were not available for use and failed to consistently monitor and document medication refrigerator temperatures on the Oak unit. Findings include: -During a medication storage observation conducted on (MONTH) 2, (YEAR) at 2 p.m., three expired medications were found in the medication room on the Magnolia unit as follows: Calcitrate one bottle with an expiration date of (MONTH) of (YEAR), Vitamin B1 one bottle with an expiration date of (MONTH) of (YEAR), and Loperamide one bottle with an expiration date of (MONTH) (YEAR). An interview was conducted with a Licensed Practical Nurse (LPN/staff #27) on the Magnolia unit on (MONTH) 2, (YEAR) at 2:00 p.m. She stated that the nurses are the ones who check the medications to make sure they are not expired. She stated that she thought the night nurses do the medication room checks to ensure medications are not expired. Review of the facility's policy regarding the Storage of Medications revealed the facility shall not use discontinued, outdated, or deteriorated drugs or biologicals. All such drugs shall be returned to the dispensing pharmacy or destroyed. -Review of the temperature logs for the medication refrigerator on the Oak unit revealed the following: No temperatures were recorded for nine days in (MONTH) (YEAR), for six days in (MONTH) (YEAR), for nine days in (MONTH) (YEAR), for ten days in (MONTH) (YEAR), for twenty days in (MONTH) (YEAR), and for fourteen days in (MONTH) (YEAR). An interview was conducted with an LPN (staff #28) on (MONTH) 2, (YEAR) at 1:45 p.m. He stated that the refrigerator temperatures are to be checked every night and recorded by night shift. An interview was conducted with a unit manager (Registered Nurse/staff #1) on (MONTH) 2, (YEAR) at 3:03 p.m. She stated that for the medication refrigerators, they keep a log of what the temperature is, and if a temperature is out of range, they have to document what their corrective action is. She stated they will notify maintenance right away, change the temperatures, and then check the temperatures again. She stated the temperatures are to be checked every night and recorded on the temperature log. Review of the facility's Refrigerator log policy and procedure revealed to maintain the medication refrigerators between 36 and 46 degrees Farenheit. Per the policy, the night shift nurses (working from 11 p.m. - 7 a.m.) will read the thermometer in the refrigerator and record it on the nightly refrigerator log. |
2020-09-01 |