cms_AZ: 82

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
82 DESERT HAVEN CARE CENTER 35062 2645 EAST THOMAS ROAD PHOENIX AZ 85016 2017-02-03 226 D 0 1 TPN311 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, resident and staff interviews, facility documentation and policy and procedures, the facility failed to implement their policy regarding an allegation of abuse for one resident (#57), and failed to ensure that two direct care staff's (staff #2 and #63) licenses were verified with the licensing board. Findings include: -Resident #57 was admitted to the facility in (MONTH) 2014, with [DIAGNOSES REDACTED]. The resident resided in the secured Behavioral Unit. Review of resident #57's Nurse's Notes dated (MONTH) 27, (YEAR) and (MONTH) 12, (YEAR) revealed resident #57 reported to staff that she was hit on the arm by another resident (#97). In an interview on (MONTH) 31, (YEAR) at 9:19 a.m., resident #57 said yes that she was abused by a former roommate, who had hit her on the left arm multiple times. The resident stated these incidents had occurred sometime in the spring of last year and were reported to staff. During interviews on (MONTH) 1, (YEAR) at 11:27 a.m. and on (MONTH) 2, 2012 at 10:12 a.m. with the Interim Director of Nursing (staff #1/former unit manager of the Behavioral Unit where residents #57 and #97 resided), investigations regarding the incidents were requested. Staff #1 stated the allegations had occurred in the spring of (YEAR). Staff #1 confirmed an investigation of these reported altercations was not done and stated the incidents were not reported to the State agencies as required. The facility's Abuse Investigations policy and procedures identified that All allegations/signs of resident abuse, neglect and injuries of unknown source shall be immediately reported and thoroughly investigated by facility management .The Administrator or Designee will provide a written report of the results of all abuse investigations and appropriate action taken to the state survey and certification agency, the local police department, the ombudsman, and others as may be required by state or local laws, within five (5) working days of the reported incident. -Review of the personnel file for staff #2 (Licensed Practical Nurse) revealed a hire date of (MONTH) 10, (YEAR). Further review revealed no documentation that staff #2's license had been verified with the licensing board. Review of the personnel file for staff #63 (Registered Nurse) revealed a hire date of (MONTH) 15, (YEAR). Further review revealed no documentation that staff #63's license had been verified with the licensing board. During an interview conducted on (MONTH) 1, (YEAR) at 2:07 p.m., administrative staff (#110) stated she did not know that verification of licenses was required. Staff #110 stated she thought having a copy of the license would meet the requirement. During an interview conducted on (MONTH) 3, (YEAR) with the Director of Nursing (staff #129), staff #129 stated that the New Hire Packet Check Off List was their policy for verifying licenses. Review of the New Hire Packet Check Off List revealed to verify the license. 2020-09-01