cms_GA: 10499

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
10499 SPRING HARBOR AT GREEN ISLAND 115716 200 SPRING HARBOR DRIVE COLUMBUS GA 31904 2009-03-31 323 G 1 0 9H8311 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, resident interview, staff interview, and observation, the facility failed to ensure the safe use of a heating pad for one (1) resident ("A") from a survey sample of seven (7) residents. This failure resulted in actual harm, a second degree burn, to the resident. Findings include: Record review for Resident "A" revealed a March 2009 Minimum Data Set assessment which indicated that the resident had no short-term or long-term memory problems. A 03/19/2009, 4:20 p.m. physician's orders [REDACTED]. A Daily Skilled Nurses Note of 03/19/2009 at 10:00 p.m. documented that a heating pad had been brought to the facility by the resident's spouse, and the March 2009 Medication Administration Record indicated to apply the heating pad to the resident's lower back every two-to-three hours for 20 minutes. During an interview with Nurse "AA" conducted on 03/30/2009 at 1:30 p.m., Nurse "AA" stated that the resident's family had brought a heating pad for the resident's use, and that the heating pad had been left in the resident's room for the resident to apply. During an interview with Resident "A" conducted on 03/30/2009 at 3:05 p.m., the resident stated that the heating pad had been applied most of the day of 03/20/2009. However, further record review revealed no evidence to indicate that facility staff had monitored the application or use of the heating pad throughout the day of 03/20/2009. During the 03/30/2009, 1:30 p.m. interview with Nurse "AA" referenced above, Nurse "AA" acknowledged that nursing staff had did not monitor the use and application of the heating pad throughout the day of 03/20/2009. A Daily Skilled Nurses Note of 03/20/2009 at 5:00 p.m. documented that a quarter-size blister had been noted to the resident's mid-back, with red, splotchy areas surrounding the blister, and that the nurse practitioner was notified. A 03/20/2009, 5:00 p.m. physician's orders [REDACTED]. twice daily until healed. During the 03/30/2009, 1:30 p.m. interview with Nurse "AA" referenced above, Nurse "AA" stated that when she was called to the resident's room at approximately 4:00 p.m. on 03/20/2009, she had noted the resident had sustained a quarter-sized blistered area to the mid-back area and had called the physician. A 03/23/2009 physician's progress note documented that the resident had sustained a burn to the spinal thoracic area related to the heating pad. The wound care nurse documented on 03/24/2009 that the resident had sustained a thermal injury, probably second degree, measuring 3.4 centimeters (cms.)-by-2.2 cms. to the T-12 back area. Observation of the resident's back on 03/30/2009 at 3:05 p.m. revealed an area of eschar measuring approximately 3 cms.-by-1/2 cm. over the mid-back area. 2014-07-01