cms_AL: 180

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
180 DIVERSICARE OF MONTGOMERY 15040 2020 NORTH COUNTRY CLUB DRIVE MONTGOMERY AL 36106 2017-11-18 279 D 1 0 2LC311 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview, resident record review, and the facility policy titled Falls the facility failed to ensure a plan of care, with individualized approaches to prevent falls, was developed for Resident Identifier (RI) #4, a resident who was at risk of falling. RI #4 sustained a fall on 10/1/2017. This affected one of three residents sampled for fall concerns. Findings Include: A review of the facility policy titled Falls, dated (MONTH) (YEAR) documented the following: . Process On admission . When a risk factor for falls is identified a corresponding intervention addressing that risk factor is developed. When the risk is identified the intervention is documented on the care plan . The identified intervention is initiated. RI #4 was admitted to the facility on [DATE]. A review of a facility form for RI #4 titled Clinical Health Status Evaluation with an effective date of 9/15/2017, the day of admission, documented risk factors with Yes answers for RI #4 that included: gait/balance impairment, impairment of lower extremity strength, medication risks, and the resident displayed one or more of the following (restlessness, lethargy, wandering, resistive to care). The form also documented the following: . Any Yes answer indicates Fall Risk - Proceed to Care Plan . A review of RI #4's earliest care plan for falls documented Focus . Fall R/T (related to) weakness: observed on floor this evening. Date Initiated: 10/01/2017 . On 11/18/2017 at 4:20 p.m. EI (Employee Identifier) #1, DON (Director of Nursing) was asked if RI #4 was found to be as risk for falls. EI #1 said, based on RI #4's Admission Clinical Health Status Evaluation RI #4 could be at risk for falls. EI #1 was asked if a care plan was developed. EI #1 said, it should have been on admission. On 11/18/2017 at 5:35 p.m. EI #1 was asked if there was an initial plan of care for falls for RI #4. EI #1 replied, there was not a care plan found from before 10/1/2017. When asked why it would be important to have a care plan in place for a resident admitted with a risk for falling, EI #1 stated, to have continuity of care for for what that resident needs. 2020-09-01