cms_AK: 78

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
78 WRANGELL MEDICAL CENTER LTC 25015 P.O. BOX 1081 WRANGELL AK 99929 2017-06-09 514 C 0 1 8G9Y11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview the facility failed to maintain accurate and complete medical records. Specifically, the facility failed to: 1) document the indication of use for medications in the residents' medical record for 6 residents (#s 1; 2; 3; 4; 5 and 7) out of 8 sampled residents whose medical records were reviewed, and 2) provide documentation for one Resident's (#6) distribution of belongings after death. These failed practices placed the residents at risk for 1) receiving inappropriate medications and 2) misappropriation of the resident's belongings. Findings: Indications for Use of Medications: Resident #1 Record review from ,[DATE]-,[DATE] revealed Resident #1 was admitted to the facility with [DIAGNOSES REDACTED]. Review of the most current medication administration record (MAR) and medication order detail, revealed no documentation of [DIAGNOSES REDACTED]. Resident #2 Record review on ,[DATE]-,[DATE] revealed Resident #2 was admitted to the facility with [DIAGNOSES REDACTED]. Review of the most current MAR and medication order detail, revealed no documentation of [DIAGNOSES REDACTED]. Resident #3 Record review from ,[DATE]-,[DATE] revealed Resident #3 was admitted to the facility with [DIAGNOSES REDACTED]. Review of the most current MAR and medication order detail revealed no documentation of [DIAGNOSES REDACTED]. Resident #4 Record review from ,[DATE]-,[DATE] revealed Resident #1 was admitted to the facility with [DIAGNOSES REDACTED]. Review of the most current MAR and medication order detail revealed no documentation of [DIAGNOSES REDACTED]. Resident #5 Record review on ,[DATE]-,[DATE] revealed Resident #5 was admitted to the facility with a [DIAGNOSES REDACTED]. Review of the most current MAR and medication order detail, revealed no documentation of [DIAGNOSES REDACTED]. Resident #7 Record review on ,[DATE]-,[DATE] revealed Resident #7 was admitted to the facility with [DIAGNOSES REDACTED]. Review of the most current MAR and medication order detail, revealed no documentation of [DIAGNOSES REDACTED]. During an interview on [DATE] at 2:45 pm, the Director of Nursing (DON) stated the indication for use for all medications should be on the MAR and physician order [REDACTED]. Review of the website Institute for Safe Medication Practices, accessed on [DATE] at http://www.ismp.org/tools/guidelines/SCEMI/SCEMIGuidelines.aspx, revealed, Provide a field to enter the purpose/indication for all medications communicated electronically .Communicating the drug's indication reduces the risk of improper drug selection and offers clues to proper dosing when a medication has an indication-specific dosing algorithm. Documentation of resident belongings after death: Record review on [DATE] revealed Resident #6 was admitted to the facility on [DATE] and expired on [DATE]. Further review revealed there was no documentation that the Resident's personal belongings were given to the resident's daughter and the daughter did not sign any documentation regarding the belongings. During an interview on [DATE] at 2:50 pm the DON confirmed there was no documentation of who received Resident #6's belongings after his/her death. Pain Medication Resident #2 Record review on ,[DATE]-,[DATE] revealed Resident #2 was admitted to the facility with [DIAGNOSES REDACTED]. Review of the most current MAR and medication order detail, revealed order detail as to when 1 or 2 tablets of [MEDICATION NAME], (a pain medication) should be given. During an interview on l[DATE] at 3:15 pm the Pharmacist and the Director of Nurses confirmed the finding and stated the order detail should define the pain scale or severity when two tablets should be given vs one tablet. 2020-09-01