cms_AK: 56

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
56	WRANGELL MEDICAL CENTER LTC	25015	P.O. BOX 1081	WRANGELL	AK	99929	2018-04-30	578	D	0	1	O8F911	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to ensure 1) 2 residents #'s (3 & 6) out of 8 sampled residents had been offered an opportunity to develop advanced directives, and 2) the facility had a policy to implement Advanced Directives. This failed practice denied the residents (and/or their representatives) the right to choose and make end of life medical decisions and placed the residents at risk for receiving unwanted or unnecessary care. Findings: Resident #3 Record review from 4/23-27/18, revealed Resident #3 was admitted to the facility with [DIAGNOSES REDACTED]. Further review of the medical record revealed no advance directive declaration or information had been given to the resident or their representative. Review of the most recent MDS (Minimum Data Set, a federally required nursing assessment) assessment, a quarterly assessment dated [DATE], revealed the Resident was coded as having a Brief Interview for Mental Status score of 11 (a score of 8-12 determines mental status is moderately impaired). During an interview on 4/25/18 at 11:02 am, the LTC Social Worker (SW) revealed she had not given advanced directive information to Resident #3. She further disclosed the Office of Public Advocacy (OPA) guardian would have been responsible for advanced directive information. Review of a letter dated 4/25/18, from the OPA guardian stated the Office of Public Advocacy is essentially unable to make end of life decisions for a client. Resident #6 Record review from 4/23-27/18, revealed Resident #6 was admitted to the facility with [DIAGNOSES REDACTED]. Further review of the medical record revealed no advance directive declaration or that information had been given to the resident or their representative. Review of the most recent MDS (Minimum Data Set, a federally required nursing assessment) assessment, a quarterly assessment dated [DATE], revealed the Resident was coded as having a Brief Interview for Mental Status score of 14 (a score of 13-15 determines mental status is intact). During an interview on 4/25/18 at 2:40 pm, the SW stated she did not give any advanced directive information to Resident #6. During an interview on 4/26/18 10:50 am, the Chief Nursing Officer stated she could not find a policy on Advanced Directives.	2020-09-01