cms_AL: 77

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
77 HATLEY HEALTH CARE INC 15023 300 MEDICAL CENTER DRIVE CLANTON AL 35045 2017-03-16 367 D 0 1 4ZQH11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, medical record review and review of the facility's policy titled, Therapeutic Diets, the facility failed to ensure Resident Identifier (RI) #3 received a regular mechanical soft diet for breakfast and lunch on 3/15/2017. This affected RI #3, one of 14 sampled residents observed for meals. The facility's Resident Census and Conditions of Residents form, dated 3/14/2017, indicated 40 residents in the facility received mechanically altered diets. Findings Include: The facility's policy dated (MONTH) 2014 titled, Therapeutic Diets, documented Policy Statement It is the center policy to provide therapeutic diets in accordance with physician orders [REDACTED].>RI #3 was admitted to the facility on [DATE]. A review of RI #3's Annual Minimum Data Set with an Assessment Reference Date (ARD) of 9/13/2016, identified RI #3 as being cognitively intact with a Brief Interview for Mental Status (BIMS) score of 15. RI #3 was assessed as being independent with eating after set-up. RI #3's care plan titled Resident is at nutritional risk . with a problem onset date of 9/13/2016 last reviewed 3/7/2017 had an approach of . Diet as ordered . RI #3's (MONTH) (YEAR) Physician order [REDACTED].#3 was ordered a regular with mechanical soft diet. On 3/15/2017 at 8:20 a.m., during the breakfast meal observation, RI #3's plate contained two whole sausage patties. RI #3 consumed all of the oatmeal and half of the biscuit provided on the tray, but did not eat the sausage patties. On 3/15/2017 at 12:21 p.m., during the lunch meal observation, RI #3's plate contained two pieces of fried chicken, a whole thigh and leg. RI #3 consumed half of the chicken noodle soup, half of the roll provided, but did not eat the fried chicken. RI #3 explained to the surveyor that he/she had his/her top teeth pulled in (MONTH) (YEAR), and it hurt his/her gums to eat hard foods, so he/she did not eat the fried chicken. An interview was conducted with Employee Identifier (EI) #4, the Dietary Manager, on 3/16/2017 at 9:18 a.m. EI #4 was asked if whole sausage patties and a fried chicken leg and thigh were considered part of a mechanical soft diet. EI #4 replied, no ma'am. During an interview on 3/16/2017 at 9:45 a.m., EI #3, the Registered Nurse (RN) Manager of the hall where RI #3 resides, was asked what type of diet should RI #3 be receiving. EI #3 responded, regular diet with mechanical soft. When asked if whole sausage patties and a fried chicken leg and thigh were considered part of a mechanical soft diet, EI #3 responded, no. EI #3 further explained the potential harm in not following an order for [REDACTED]. 2020-09-01