cms_AK: 85

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
85 PROVIDENCE TRANSITIONAL CARE CENTER 25018 910 COMPASSION CIRCLE ANCHORAGE AK 99504 2017-06-22 221 D 0 1 NLCD11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, observation, interview and protocol review the facility failed to ensure 1 resident (#3) out of 7 sampled residents was free from physical restraints. Specifically, the facility failed to ensure a transfer belt was not used as a restraint. This failed practice had the potential to cause a decrease in self-worth and self-esteem related to respect and dignity of the individual. Findings: Resident #3 Record review from 6/19-22/17 revealed Resident #3 was admitted to the facility with [DIAGNOSES REDACTED]. Further review of the Resident Daily Care Plan (RDCP) dated 6/7/17 and updated on 6/14/17 revealed no mention of a transfer belt on the care plan. Observation on 6/19/17 at 8:30 am, revealed Resident #3 sitting in the dining area at the table with a bright colored orange belt wrapped around the back of his/her wheelchair and buckled at his/her waist. The back of the belt had writing on it from a black marker that said Do Not Remove. Observation on 6/19/17 at 11:55 am revealed Certified Nursing Assistant (CNA) #1 assisted Resident #3 from the bed to the wheelchair using a white cloth transfer belt. Once in the wheelchair, CNA #1 wrapped a bright orange belt around the Resident and the back of the chair. When asked why the belt was wrapped around the wheelchair, CNA #1 stated To keep (him/her) upright in the chair. Observation on 6/19/17 at 12:05 pm, revealed Resident #3 at the dining table in the common room. The bright orange belt was wrapped around the Resident's wheelchair and buckled at the waist. During an interview on 6/19/17 at 1:00 pm, Resident #3's family member was in the Resident's room. When asked about the belt around the wheelchair, the family member stated It is for positioning, to keep (him/her) from falling over. During an interview on 6/19/17 at 1:02 pm, Resident #3 stated he/she could not release the buckle on the orange transfer belt. Observation on 6/19/17 at 1:25 pm revealed Occupational Therapist #1 pushed Resident #3's wheelchair down the hall near the nurse's station. The bright orange transfer belt was around the wheelchair and buckled at Resident #3's waist. During an interview on 6/20/17 at 10:50 am, Physical Therapy Aide (PTA) #1 stated At no point should it (transfer belt) be attached to the wheelchair and the patient (resident). The PTA further stated if the belt was wrapped around the wheelchair it would be a restraint. The PTA also said if it was for positioning it would be on the Resident Daily Care Plan. During an interview on 6/20/17 at 11:18 am, Licensed Nurse (LN) #7 stated he/she first noticed the transfer belt yesterday (6/19/17). LN #7 said I thought it was supposed to be there. During an interview on 6/20/17 at 12:30 pm, LN #5 said a gait (transfer) belt should never be attached to a wheelchair that is a restraint. Review on 6/22/17 of the facility's protocol Transfer Belts last revised 4/20/16, revealed .Belt may NOT be left on patient for use as a restraint . 2020-09-01