cms_GA: 10218

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
10218	ABBEVILLE HEALTHCARE & REHAB	115623	206 MAIN STREET EAST	ABBEVILLE	GA	31001	2010-04-08	241	E	0	1	OHLM11	Based on observations, it was determined that the facility failed to promote a dignified dining experience for thirteen residents (#4, #13, #14, #11 and nine residents randomly observed) in the small dining room from a total sample of 18 residents. Findings include: 1. Resident #4 drank four ounces of water at lunch prior to receiving staff assistance. Resident #4 was observed on 4/6/10 at 12:35 p.m. in the small dining room being assisted to eat by a Certified Nursing Assistant (CNA). The CNA was inappropriately feeding the resident at a fast pace. The CNA did not allow the resident to swallow each bite before giving him/her more to eat. The CNA did not offer the resident any of the iced tea until after he/she had eaten all of the food on the plate. Resident #4 was observed on 4/7/10 at 12:25 p.m. in the small dining room slowly feeding himself/herself. A CNA was inappropriately giving the resident a few bites of food then walking over to another table and standing over another resident to feed him/her a few bites to eat. Resident #4 continued to slowly feed himself. At that time, another CNA was observed to be seated between two residents while assisting them to eat. However, that CNA inappropriately turned her back completely towards one resident while assisting the other resident to eat. 2. Resident #13 was observed on 4/8/10 from 12:05 p.m. to 12:31 p.m. eating lunch in the small dining room. The resident was seated at a table with resident #14 and another resident. A CNA was seated between resident #14 and the other resident. The CNA stopped assisting those two residents to eat when, she repeatedly got up and walked around the table to prompt resident #13 to continue to eat and drink fluids. At that time, it was observed that four other nursing staff members were supervising or assisting ten residents to eat. Two of the four nursing staff members were standing over the residents while assisting them to eat. 3. Resident #11 was observed on 4/8/10 from 8:10 a.m. to 8:30 a.m. in the small dining room being fed breakfast. At 8:10 a.m., a CNA was inappropriately standing over the resident while assisting him/her to eat. After the CNA left resident at 8:20 a.m., another CNA began inappropriately standing over him/her to assist the resident to eat. At 8:25 a.m., the Speech Therapist walked over to assist the resident while inappropriately standing over him/her. The resident appeared sleepy and was not eating well so, the Speech Therapist quit assisting him/her to eat. At 8:30 a.m., a CNA returned and began assisting the resident to eat while inappropriately standing over the resident. That CNA repeatedly walked back and forth to assist two other residents at the table to eat. The CNA would give each of the three residents a bite of food. 4. Random observations were made on 4/8/10 from 8:10 p.m. to 8:30 p.m. in the small dining room. A CNA was observed inappropriately standing over a resident at the first table on the left while assisting him/her to eat breakfast. A CNA was observed inappropriately standing over two residents at the second table on the right while assisting them to eat breakfast. During a random observation on 4/7/10 from 5:00 p.m. to 5:35 pm. in the small dining room, three residents were observed sitting at the back right table. At 5:00 p.m., a CNA served all three of the residents a supper tray. The CNA then sat between two of the residents and began to assist them to eat. At 5:05 p.m., the third resident stated that he wanted to eat, his/her tray was uncovered and put on the table in front of him/her. The CNA told him/her that she "would feed him/her as soon as she had finished feeding the other two residents." At 5:25 p.m., while the CNA was still assisting the two residents, the third resident stated that he/she wanted his/her tea. At 5:30 p.m.(30 minutes after the meal was served), the CNA got up and moved her chair between the third resident and one of the two other residents, then began assisting the third resident to eat while continuing to assist the other resident.	2014-12-01