cms_AZ: 69

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

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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
69 HAVEN OF SCOTTSDALE 35059 3293 NORTH DRINKWATER BOULEVARD SCOTTSDALE AZ 85251 2016-09-22 278 D 0 1 BZVV11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on closed clinical record review, staff interviews, and the Resident Assessment Instrument (RAI) manual, the facility failed to ensure one resident's (#136) Minimum Data Set (MDS) assessment was accurate. Findings include: Resident #136 was admitted to the facility on (MONTH) 25, (YEAR), with [DIAGNOSES REDACTED]. A pressure ulcer assessment dated (MONTH) 26, (YEAR) included the resident had a stage III pressure ulcer to the sacrum. The pressure ulcer care plan dated (MONTH) 27, (YEAR) included the resident had a stage III pressure ulcer to the sacrum. Review of the physician wound care note dated (MONTH) 28, (YEAR) also revealed that the resident had a stage III pressure ulcer located on the sacrum. However, review of the admission MDS assessment dated (MONTH) 1, (YEAR) revealed in Section I. that the resident was coded as having an active [DIAGNOSES REDACTED]. In an interview with the Director of Nursing (DON/staff #6) conducted on (MONTH) 22, (YEAR) at 9:00 a.m., she stated that Section I. of the MDS admission assessment was an error and the resident's pressure ulcer wound was a stage III. In an interview with the MDS Coordinator (staff #55) conducted on (MONTH) 22, (YEAR) at 9:31 a.m., he stated that he bases the MDS entries on therapy documentation, the certified nursing assistant (CNA) notes regarding activities of daily living, the daily assessments of the nurses and physician documentation. He stated that when there are discrepancies on the documentation regarding the stages and locations of pressure ulcers, he will verify it with the physician and the nurse, and will go with what the physician said and documents. He stated that he should have checked and clarified Section I. of the MDS to ensure that the stage of the pressure ulcer matched. Review of the RAI manual for the MDS revealed .the importance of accurately completing and submitting the MDS assessment cannot be over-emphasized. The MDS assessment is the basis for the development of an individualized care plan . 2020-09-01