cms_AL: 2398

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
2398	AHAVA HEALTHCARE OF ALABASTER	15144	850 9TH STREET, NORTHWEST	ALABASTER	AL	35007	2017-10-19	425	D	0	1	J4RZ11	Based on a review of the facility's Record of Medication Destruction, the facility's policy titled, Disposal/Destruction of Expired or Discontinued Medications and interview, the facility failed to ensure that there were two signatures on the non controlled medication destruction for the months of (MONTH) and (MONTH) (YEAR). This affected two of six months reviewed for drug destruction. A review of the facility's policy titled, Disposal/Destruction of Expired or Discontinued Medications with a Revision Date of 01/01/13, page 1, revealed: . 5. Facility should destroy non-controlled medications in the presence of a registered nurse and witnessed by one other staff member, in accordance with Facility policy or Applicable Law. A review of the drug destructions records was performed on 10/19/2017 at 3:00 p.m. It was discovered that there are 11 pages of (MONTH) (YEAR) and 15 pages of (MONTH) (YEAR) that did not have the required number of two signatures as witnesses to the drug destruction. An interview was conducted on 10/19/2017 at 4:45 p.m. with EI #8, a Registered Nurse (RN),the Director of Nursing. EI #8 was asked how many signatures are required for the non-controlled drug destruction. EI #8 replied, Two. EI #8 was asked if the months of (MONTH) and (MONTH) (YEAR) had the correct number of signatures. EI #8 replied, No. EI #8 was asked why they did not have the correct number of signatures. EI #8 replied, I'm not sure. EI #8 was asked what was the harm in not having the signatures. EI #8 replied, They could be given away or taken, and not accounted for. With one person signature, (Pharmacist) you don't have validation.	2020-04-01