cms_NM: 66

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.

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
66 SANDIA RIDGE CENTER 325032 2216 LESTER DRIVE NE ALBUQUERQUE NM 87112 2017-03-20 312 E 0 1 30NH11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure that residents were provided the assistance they need in performing hygiene care and showers for 2 (R #s 3 and 70) of 2 (R #s 3 and 70) residents reviewed for ADLs (activities of daily living). This deficient practice has the potential to result in poor hygiene, lower self-esteem and could result in further decline in residents' ability to participate in their ADLs. The findings are: [NAME] On 03/15/17 at 2:10 pm, during an interview with LPN (licensed practical nurse) #6, she stated that sometimes, it depends on R #70's mood on whether R #70 will get a shower. She stated that she does not know him to refuse showers that much because the CNAs (certified nursing assistant) should be coming to her to let her know when he does refuse. She stated that when this happens she will go talk to him and come back later if she needs to, to talk to him about taking a shower. She stated that yes it should be documented if he is refusing showers or even if he is getting his showers. B. On 03/15/17 at 3:45 pm, during an interview with the DON (Director of Nursing) he stated that he thinks part of the problem is that agency staff don't document the showers. He stated that they either don't know how or they just don't do it. When asked about the difficulty of the actual shower sheet needing a minimum of a date, time and signature to document the showers, he had no response. The DON also stated that it was the facility's responsibility to train agency staff. C. On 03/16/17 at 11:25 am, during an interview with the DON he stated that by looking at the shower sheets R #70 does not appear to be receiving showers. D. On 03/20/17 at 10:33 am, during an interview with CNA #18 she stated that the process for showers would be if a resident refuses a shower they tell the nurse. They will try to ask again later. She stated that CNAs are responsible for documenting showers on the ADL sheet and also on the shower sheets. She stated that R #70 refuses showers all the time and that R #70 would prefer a male to shower him. She stated that they do try to accommodate that request. E. Record review indicated that R #70's shower days are Wednesday and Saturday. F. Record review of the Weekly Bath and Skin Report dated from 09/01/16 to 02/28/17 indicated that R #70 did not receive 42 out of 52 showers with four documented refusals. [NAME] Record review of the ADL log sheets for bathing from 09/01/16 to 02/28/17 indicated that R #70 did not receive 41 of 52 showers with four documented refusals. Findings for R #3 I. On 03/13/17 at 01:17 pm, R #3 was observed to have a contracture (a permanent shortening of muscle, tendon, or scar tissue producing deformity or distortion) of the left hand and held it in a fist. He was observed to have untrimmed nails on both hands with brown/black material underneath them. [NAME] 03/15/2017 at 1:44 pm, during interview and observation with the DON, he shook R #3 hand and observed both hands. He stated the nails were too long on both hands and needed to be trimmed. He stated the nails on his left hand could break the integrity of the skin if not trimmed due to the resident having a contracture on that hand. K. Record review of the Care Plan revised on 05/08/15 revealed R #3 requires assistance with ADL care in bathing, grooming, dressing, bed mobility, transfer, locomotion, toileting due to cognitive loss. [DIAGNOSES REDACTED]. L. Record review of the policy and procedure Activities of Daily Living dated 11/28/16 revealed: 1. Based on the comprehensive assessment of a patient and consistent with the patient's needs and choices, the Center must provide the necessary care and services to ensure that a patient's abilities of daily living do not diminish unless circumstances of the individual's clinical condition demonstrate that such diminution was unavoidable. 2. The Center must ensure that a patient is given the appropriate treatment and services to maintain or improve his/her ability to carry out ADL's. 3. A patient who is unable to carry out ADL's receives the necessary services to maintain good nutrition, grooming, and personal and oral hygiene. 2020-09-01