cms_NM: 63

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

rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
63 SANDIA RIDGE CENTER 325032 2216 LESTER DRIVE NE ALBUQUERQUE NM 87112 2017-03-20 248 E 0 1 30NH11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to provide an ongoing activity program for 1 (R #13) of 3 (R #s 3, 13 and 70) residents reviewed for activities by not providing activities that the resident indicated are very important to him. This deficient practice has the potential to cause a decline in the residents psychosocial well being. The findings are: [NAME] Record review of the MDS (Minimum Data Set) assessment dated [DATE] revealed that it is very important for the R #13 to listen to music, be around animals such as pets, keep up with the news, and go outside to get fresh air when the weather is good. B. Record review of the Care Plan dated 01/13/17 revealed: 1. Resident exhibits or is at risk for limited meaningful engagement related to social isolation, speaks very little English. Spanish speaking only. 2. The documented goal was resident will accept invitations to activities. Resident will participate in meaningful activities 1 to 2 times per week for 90 days. 3. The interventions listed were: inform resident of facility happenings, encourage resident to participate in meaningful activities of interest such as music socials, exercise class, coloring art, outdoors for fresh air, and catholic mass. C. Record review of the Recreation Activity Logs revealed: 1. (MONTH) (YEAR); Resident documented to be actively involved on 01/18/17 and 01/25/17 for Church/Clergy and on 01/22/17 for Gospel Music. There is 1 entry of a refusal on 01/07/17 for a pet visit. No other offered opportunities for pet visits are documented. 2. (MONTH) (YEAR); Resident was not documented as being actively involved in any activity. 3. (MONTH) (YEAR); resident documented as actively involved in Church/Clergy on 03/01/17 and 03/15/17, and Stress Mgmt (management)/relaxation 03/01/17, 03/13/17 and 03/15/17. The log indicated one refusal for Music. The log did not indicate the resident was offered to go outside to get fresh air, have a pet visit, or keep up with the news. D. On 03/16/17 at 1:52 pm, during interview with the Activities Assistant., she stated that she documented that R # 13 participated in the (MONTH) (YEAR) activities of Stress Mgmt/Relaxation because she observed him resting in his room on those occasions. E. On 03/16/17 at 1:52 pm, during interview with the Director of Recreation, she stated activity assessments are done quarterly and confirmed R # 13 had only had two assessments done since he was admitted on [DATE]. She stated I can see we are not doing enough with him. She confirmed the Activities Assistant documented the resident participated in a stress management/relaxation activity from 03/01/17 to 03/13/17 and on 03/15/17 incorrectly. She stated that a resident resting in his room should not be documented as an activity. She stated it's our fault for not taking R #13 outside for fresh air as written in his care plan. F. Record review of Residents/Patient's Choice recreation policy and procedure dated 07/01/14 revealed: 1. Residents/Patients have the right to participate in activities of their choosing . 2. The purpose is to provide opportunities for recreation and social involvement. 3. Residents/Patients who prefer not to participate in structured programs will be offered alternatives and necessary support/resources for meaningful individual pursuit of leisure interests. 2020-09-01