cms_AL: 70

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
70 MERRY WOOD LODGE 15019 P O BOX 130 ELMORE AL 36025 2020-03-03 842 D 1 1 LZCS11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review, interview and review of a facility policy titled Medication: Administration: General, the facility failed to ensure nursing staff documented administration of Resident Identifier (RI) #24's [MEDICATION NAME] on 01/28/20 and 01/30/20 on the Medication Administration Record (MAR). This affected 1 of 20 sampled residents whose MARs were reviewed. Findings Include: A review of a facility policy titled Medication: Administration: General, revised [DATE], documented: .11. Document: 11.1 Administration of medication on Medication Administration Record (MAR). RI # 24 was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. RI #24's physician's orders [REDACTED]. A review of RI # 24's Narcotic Record for January 2020 documented one dose of [MEDICATION NAME] was taken out on 1/28/20 and another on 1/30/20. However, review of RI # 24's January 2020 MAR did not reflect [MEDICATION NAME] was administered on [DATE] or 1/30/20. On 3/1/20 at 5:00 p.m., an interview was conducted with Employee Identifier (EI) # 5, the Licensed Practical Nurse (LPN) that signed out the [MEDICATION NAME] on 1/28/20. EI # 5 was asked if she gave RI # 24 a [MEDICATION NAME] on 1/28/20. EI # 5 stated yes, it was documented on the narcotic book that she had signed one out. EI # 5 was asked if she marked the MAR when the [MEDICATION NAME] was given on 1/28/20. EI # 5 stated no, she forgot, but she should have signed it off on the MAR as adminsitered. EI # 5 was asked why she should mark it on the MAR. EI # 5 stated the next shift needed to know what was given. EI # 5 was asked how many doses of the [MEDICATION NAME] RI # 24 received. EI # 5 stated a total of two doses: one on 1/28/20 at 6:00 p.m. and one on 1/30/20 at 12:00 p.m. EI # 5 stated she did not give the the dose on 1/30/20. EI # 5 was asked if the nurse from 1/30/20 marked on the MAR that the [MEDICATION NAME] was given. EI # 5 stated no. An interview was completed with EI # 4, Registered Nurse/Unit Manager, on 3/3/20 at 9:40 a.m. When questioned about RI #24's Narcotic Record reflecting doses of [MEDICATION NAME] were signed out on 1/28/20 and 1/30/20 but administration was not documented on the MAR, EI # 4 stated it should have been documented in both places. EI #4 further explained the Narcotic Record reflected the medication was taken out, and the MAR should reflect the medication was administered. EI # 4 was asked if nurses should document on the MAR when they give medications. EI # 4 replied yes. EI # 4 was asked why nurses should document on the MAR. EI # 4 replied, to show the medication was given. 2020-09-01