cms_AL: 49

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
49 ATHENS HEALTH AND REHABILITATION LLC 15016 611 WEST MARKET STREET ATHENS AL 35611 2018-07-19 658 D 0 1 OEFS11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, staff interviews, medical record reviews, review of Potter and Perry's Fundamentals of Nursing, Ninth Edition and a facility policy titled Medication Administration Guidelines, the facility failed to ensure licensed nursing staff, Employee Identifier (EI) #14, followed Resident Identifier (RI) #25's Physician order [REDACTED]. This deficient practice affected RI #25, one resident observed receiving eye drops. Finding Include: 1. A review of Potter and Perry's Fundamentals of Nursing, ninth edition, with a copyright date of (YEAR), Chapter 23, Legal Implications in Nursing Practice, page 311, documented: . Health Care Providers' Orders . Nurses follow health care providers' orders unless they believe that the orders are in error . RI #25 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Review of the medical record for RI #25 revealed the following Physician order [REDACTED]. . REFRESH [MEDICATION NAME] 1% EYE DROPS INSTILL TWO DROPS IN BOTH EYES THREE TIMES A DAY FOR DRY EYES, ARTIFICIAL TEARS --- (HOUSE ST[NAME]K) GIVE 1 DROP OU (BOTH EYES) AT BEDTIME NIGHTLY . On 7/18/18 at 9:00 a.m., during the Medication Administration Observation, the surveyor observed EI #14, the medication nurse administer Artificial Tears, two drops in each eye of RI #25. The medications were reconciled by the surveyor via (by way of) RI #25's Physician order [REDACTED]. The physicians's orders revealed EI #25 had not followed the physician orders [REDACTED].#25. The eye drops which were ordered and scheduled for this time (9:00 a.m.) were REFRESH [MEDICATION NAME] 1% EYE DROPS. On 07/18/18 10:56 AM, the surveyor conducted an interview with EI #14. The surveyor asked EI #14 if she administered RI #25 Artificial Tears 2 drops (gtts) in ou (both eyes), or Refresh [MEDICATION NAME] 1% eye gtts. EI #14 said she did not give RI #25 the Refresh eye drops. EI #14 said she has never given RI #25 gel eye drops(Refresh [MEDICATION NAME] 1% eye gtts). EI #14 said she always gave RI #25 Artificial tears. The surveyor asked EI #14, according to RI #25's Physician orders, what eye drops should RI #25 receive? EI #14 said, the Refresh [MEDICATION NAME] 1% three times a day. 2020-09-01