cms_AK: 87

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
87 PROVIDENCE TRANSITIONAL CARE CENTER 25018 910 COMPASSION CIRCLE ANCHORAGE AK 99504 2017-06-22 281 D 0 1 NLCD11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview the facility failed to ensure resident care and services were provided in accordance with professional standards for 1 Resident (#4) out of 7 residents whose medical care was reviewed. Specifically, the facility failed to alert the physician if the Resident experienced 2 blood sugar readings above 200mg/dl in a 24 hour period. Failure to provide services according to professional standards of practice placed the Resident at a greater risk of poor outcomes. Findings: Record review from 6/19-22/17 revealed Resident #4 was admitted to the facility with [DIAGNOSES REDACTED]. Record review from 6/19-22/17 of Resident #4's electronic medical record (EMR) revealed a physician's orders [REDACTED]. Further review from 6/19-22/17 of Resident #4's EMR dated 6/18/17 revealed entries for the evening blood sugar of 203 mg/dl and bedtime blood sugar of 207 mg/dl. Additional review of the EMR Nursing Notes dated 6/18/17, revealed no additional notations in the nursing notes indicating communication of the two reportable blood sugar levels to the physician. During an interview on 6/20/17 at 7:00 am when asked what do you do when medication administration parameter were not met, LN #1 responded, to notify the MD, document findings in the communication log and notify the nursing supervisor. During an interview on 6/20/17 at 9:25 am Licensed Nurse (LN) #2 states: notify the MD, document findings in the communication log and notify the nursing supervisor when parameters are not met. Record review of the facilities communication log dated 6/18-19/17 revealed no documented communication to the physician of Resident #4's blood sugar results. During an interview on 6/20/17 at 10:00 am, Nursing Supervisor #1 confirmed the MD should have been notified. Review of the Alaska State Nursing Statutes and Regulations, dated (MONTH) 2014, revealed .practice of registered nursing' means the .execution of a medical regimen as prescribed by a person authorized by the state to practice medicine . Review of the American Nurses Association Code of Ethics for Nurses, dated (YEAR), revealed Nurses bear the primary responsibility for the nursing care of that their patients and clients receive and are accountable for their own practice. Nursing practice includes .care as ordered by an authorized healthcare provider . 2020-09-01