cms_AZ: 19

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.

Data source: Big Local News · About: big-local-datasette

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
19 SANTA ROSA CARE CENTER 35004 1650 NORTH SANTA ROSA AVENUE TUCSON AZ 85712 2017-10-05 225 D 0 1 2ZZS11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, facility investigation report review, orientation sheet review, staff interviews, and policy, the facility failed to ensure that a registry certified nursing assistant reported an allegation of verbal abuse in a timely manner. Findings include: Resident #7 was readmitted on (MONTH) 2, (YEAR), with [DIAGNOSES REDACTED]. Review of the Minimum Data Set quarterly assessment dated (MONTH) 24, (YEAR) revealed that the resident was moderately impaired and was totally dependent on staff for activities of daily living. Review of the clinical record revealed a nurse's notes dated (MONTH) 3, (YEAR) regarding an allegation of a staff verbally insulting resident #7. Review of the facility's investigation report revealed an allegation of abuse that occurred (MONTH) 28, (YEAR) on the 3 p.m. to 11 p.m. shift was reported (MONTH) 2, (YEAR) by a registry certified nursing assistant (staff #146). The allegation was that a certified nursing assistant (staff #147) was verbally abusive to resident #7. Staff #147 was yelling and cursing at resident #7. During an interview conducted with a licensed practical nurse (staff #129) (MONTH) 4, (YEAR) at 8:45 a.m., staff #129 stated the staff are to immediately report any incidents to the charge nurse or directly to the Director of Nursing. She also stated that agency staff are to review a book on the unit which contains facility policy. She further stated that when their orientation to the facility is completed they sign a document. An interview was conducted (MONTH) 4, (YEAR) at 9:27 a.m. with the staffing coordinator (staff #141). She stated that all agency staff must complete orientation during their first shift at the facility. She further stated once the orientation is completed, the agency staff signs the orientation sheet which it is kept on file in the staffing office. Review of the orientation sheet revealed the agency certified nursing assistant (staff #146) completed and signed the Orientation of Registry CNA Personnel for abuse training. During an interview conducted with the Director of Nursing (staff #107) on (MONTH) 4, (YEAR) at 9:54 a.m., staff #107 stated the (MONTH) 28, (YEAR) allegation of verbal abuse between staff #147 and resident #7 was reported on (MONTH) 2, (YEAR). The policy Investigation and Reporting of Allegations of Resident Abuse, Neglect, Exploitation, Resident Injuries of Unknown Origin or Misappropriation of Resident Property included that any employee who receives a report or allegation of abuse, neglect, or misappropriation from any source, including the alleged victim, must IMMEDIATELY inform the following: Administrator, Director of Nursing or Assistant Director of Nursing, Director of Social Work, Attending Physician, Adult Protective Services, Resident's guardian, POA and/or emergency contact, Payer Source Case Manager and Ombudsman. 2020-09-01