cms_AK: 91

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
91 PROVIDENCE TRANSITIONAL CARE CENTER 25018 910 COMPASSION CIRCLE ANCHORAGE AK 99504 2017-06-22 329 D 0 1 NLCD11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview and policy review the facility failed to adequately monitor the drug regime for 1 resident (#3) out of 3 sampled residents reviewed for antipsychotic use. Specifically, the facility failed to perform an Abnormal Involuntary Movement Scale (AIMS) upon admission. Failure to adequately assess and review for possible side effects placed the resident at risk for undesirable side effects of an antipsychotic medication. Findings: Record review from 6/19-22/17 revealed Resident #3 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the admitting physician's orders [REDACTED].>Review of the medication order on 6/21/17 at 11:22 am, revealed [MEDICATION NAME] was started on 5/22/17, at another facility. Review of the pharmacist's admission review note dated 6/10/17, revealed .an AIMS assessment is to be completed on all patient's taking an antipsychotic upon admission and then every 6 months thereafter .Please complete an AIMS assessment. Review of the Nursing Notes dated 6/19/17 at 3:31 am, revealed an AIMS assessment was completed on 6/18/17, 11 days after admission. During an interview on 6/20/17 at 10:07 am, Nursing Supervisor (NS) #1 stated the AIMS assessment should be done within 1 week of admittance. The NS stated it is a little late. During a follow up interview on 6/21/17 at 11:25 am, NS #1 confirmed the Resident did not have an AIMS test done prior to admittance at the facility. During an interview on 6/21/17 at 3:15 pm, when asked when Residents AIMS testing should be done, the Pharmacist stated the AIMS test should be done within 3 days of admission. Review of the facility's policy [MEDICAL CONDITION] Medications dated 12/1/16, revealed .Licensed Nursing Staff .Complete the [MEDICAL CONDITION] Assessment and AIMS scale upon admission of a resident/patient with orders for [MEDICAL CONDITION] therapy . Review on 6/28/17 of the website http://www.rxlist.com/[MEDICATION NAME]-drug.htm#warnings_precautions revealed, Tardive Dyskinesia (involuntary movements) - A syndrome of potentially irreversible, involuntary dyskinetic movements may develop in patients treated with antipsychotic drugs. There is no known treatment for [REDACTED].If signs and symptoms of tardive dyskinesia appear in a patient treated with [MEDICATION NAME](R), consider drug discontinuation . 2020-09-01