cms_NM: 57

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
57	SANDIA RIDGE CENTER	325032	2216 LESTER DRIVE NE	ALBUQUERQUE	NM	87112	2018-03-14	842	D	0	1	YN7D11	Based on interview and record review the facility failed to consistently document on the Activities of Daily Living (ADL) flowsheets for 1 (R #38) of 2 (R #38 and #66) residents looked at for ADLs. This deficient practice has the potential for residents to not be identified as having poor meal and fluid intakes, how frequently a resident is experiencing diarrhea and if they are declining. The findings are: [NAME] Record review of R #38's ADL flowsheet for (MONTH) (YEAR), indicated that for the meal and fluid percentages that 17 out of 31 days nothing was documented for the whole day. On 12 different days for the month there was no documentation for breakfast and lunch, dinner was the only meal documented for the day. B. Record review of R #38's ADL flowsheet for (MONTH) (YEAR), indicated that for the bowel section, on 18 occasions there was no documentation indicating the number of times the resident had a bowel movement or what the consistency and size was. C. On 03/14/18 at 1:11 pm, during an interview with Registerd Nurse (RN) #3, he stated that the documentation on the ADL sheet for R #38 in (MONTH) (YEAR) was incomplete. RN #3 also agreed that it would be difficult to get an accurate picture of a resident when the there is inconsistent documentation. RN #3 also stated that the CNAs are responsible for documenting the ADLs in the chart before the end of shift. D. On 03/14/18 at 11:25 am, during an interview with CNA #14, she stated that yes the documentation on the ADL flowsheet for R #38 was incomplete. She stated that it looks like the CNA did not fill it in, not that that the activity didn't happen. They are supposed to be filling in all of the ADLs for all their residents before the end of their shift every time they work. E. On 03/09/18 at 10:37 am, during an interview with the Registered Dietician (RD), he stated that when he is making his assessments for residents he will pull information from different sources. The RD also stated that yes the ADL record at a minimum he will look at. He will look at the meal and fluid percentages when he is assessing a resident. The RD also stated that he does see some limitations with the documentation and that the CNAs do get training on how to document the percentages but it is a crude tool.	2020-09-01