cms_AL: 39

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
39 PLANTATION MANOR NURSING HOME 15015 6450 OLD TUSCALOOSA HIGHWAY P O BOX 97 MC CALLA AL 35111 2018-04-19 641 D 0 1 K9LV11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on an interview, a review of the medical record, and a review of a facility policy titled, Conducting an Accurate Resident Assessment, the facility failed to ensure side rails were coded accurately on RI (Resident Identifier) #45's Quarterly MDS (Minimum Data Set) dated 3/2/18. This affected RI #45, one of twenty-three residents whose MDS assessments were reviewed. Findings Include: A review of an undated facility policy titled, Conducting an Accurate Resident Assessment, revealed: Policy: The purpose of this policy is to assure that all residents receive an accurate assessment, reflective of the resident's status at the time of the assessment, by staff qualified to assess relevant care areas. Accuracy of Assessments means that the appropriate, qualified health professionals correctly document the resident's medical, functional, and psychosocial status . Policy Explanation and Compliance Guidelines: . 7. A registered nurse will sign and certify that the assessment/correction request is completed. Each individual who completes a portion of the assessment will sign and certify the accuracy of that portion of the assessment. A review of the medical record for RI #45 revealed a re-admission date of [DATE] with [DIAGNOSES REDACTED]. A review of the Quarterly MDS dated [DATE] revealed RI #45 used bed rails as a restraint daily. A review of a physician's orders [REDACTED]. 1/2 (half) side rail in place for T&P (Turning and Positioning) . A review of RI #45's care plan, with a next review date of 6/8/18, revealed: Problem/Need . REQUIRES limited to Total ASSISTANCE WITH ADLs (Activities of Daily Living) . Approaches . siderails in place for safety & (and) T&P . An interview was conducted with EI (Employee Identifier) #4, the LPN (Licensed Practical Nurse)/MDS Coordinator, on 4/19/18 at 3:54 PM. EI #4 was asked who was responsible for ensuring restraints were coded correctly. EI #4 answered, Me. EI #4 was asked why did RI #45 use bed rails. EI #4 answered for turning and positioning and also related to a history of [MEDICAL CONDITION]. EI #4 was asked what did the care plan indicate the rails were used for and she replied for turning, re-positioning, and safety. EI #4 was asked if the rails were coded correctly on the Quarterly MDS and she answered no. EI #4 was asked why not. EI #4 answered because they were not used as a restraint. EI #4 was asked what was the facility's policy regarding accuracy of assessments. EI #4 answered everything should be checked for accuracy before the assessment was submitted. EI #4 was asked what was the concern of an assessment being coded incorrectly. EI #4 answered the care plan might not be accurate. 2020-09-01