cms_AL: 94

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.

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
94 SENIOR REHAB & RECOVERY AT LIMESTONE HEALTH FACILI 15024 1600 WEST HOBBS STREET ATHENS AL 35611 2018-02-15 803 D 0 1 EZGG11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record review, interviews, and review of the facility's policy titled FOOD PREFERENCES, the facility failed to ensure Resident #117 was served foods in accordance with his/her assessed preferences. This affected one of 132 residents for whom meals were observed. Findings include: Review of the facility's undated policy titled FOOD PREFERENCES revealed the following: POLICY: Information will be gathered upon admission to inform the dietary department of the resident/patient's food preferences and diet history. PR[NAME]EDURE: 1. Interview the resident for the following information: . *Food preferences, intolerances, allergies [REDACTED]. Resident #117 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. On 02/14/18 at 12:00 PM, Resident #117 was observed eating the lunch meal. Resident #117 said he/she was not supposed to get any fried foods but did so today. The tray card on Resident #117's lunch tray listed fried foods as a dislike. Resident #117's family member (also present) stated he/she could not eat the fried french fries or fried macaroni bites the facility had provided on the tray. On 02/14/18 at 12:20 PM, Employee Identifier (EI) #3, Certified Nursing Assistant, was asked who was responsible for making sure residents received items in accordance with their likes/dislikes. EI #3 stated the dietary department was responsible. EI #3 verified Resident #117 had received fried foods on his/her tray. On 02/15/18 at 06:52 PM, EI #4, the Certified Dietary Manager, explained the Dietary staff list residents' likes and dislikes on their tray tickets and keep each resident's preferences on file in the computer. When asked what system was in place to ensure the items listed on the tray tickets under likes and dislikes were honored, EI #4 said the cooks or person plating the trays read the tickets. EI #4 explained dietary staff were supposed to look at the preferences and, if a resident had a dislike listed, they were not supposed to put it on the tray. EI #4 said it was important to follow residents' preferences for foods because that was what the resident wanted, either for a medical reason, or allergy. EI #4 further stated you want to honor what the resident wants and what they like to eat. EI #4 confirmed the potato wedges (french fries) and macaroni bites were fried. EI #4 said she could not say what happened with Resident #117's lunch tray, but indicated they must have misread the ticket. EI #4 further said the error should not have occurred. 2020-09-01