cms_GA: 106

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
106 CENTER FOR ADVANCED REHAB AT PARKSIDE, THE 115040 110 PARK CITY ROAD ROSSVILLE GA 30741 2015-10-08 279 E 0 1 6PVM11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview,the facility failed to develop a dental care plan for two (2) residents (#44, #138) A urinary incontinence care plan for one resident (# 84) and a [MEDICAL CONDITION] medication care plan for two(2) residents(#167 and #200) from a sample of fifty (50) residents. Findings include: 1. Record review for resident #68 revealed Minimum Data Set (MDS) assessment dated [DATE] which documented in Section L- Oral/Dental status that the resident's natural teeth were chipped. Section V-Care Area Assessment (CAA) triggered Oral/Dental status with the decision to be care planned. Medical record review of resident #68 revealed no evidence a Dental care plan had been developed. Interview conducted on 10/06/2015 at 3:30 pm with the Care Plan Coordinator NN confirmed the annual MDS assessment dated [DATE] triggered Oral/Dental with the decision to be care planned. Further, she confirmed a dental care plan was never developed and that a care plan for dental should have been developed. 2. Record review for resident #138 revealed a MDS assessment dated [DATE] which documented in Section L- Oral/Dental status that the resident's teeth were broken or chipped. Section V-Care Area Assessment (CAA) triggered Oral/dental with the decision to be care planned. A record view of resident #138 care plans revealed no evidence a dental care plan had been developed. Interview conducted on 10/7/2015 at 10:00 am with the Care Plan Coordinator OO confirmed the annual MDS assessment dated [DATE] triggered Oral/Dental with the decision to be care planned. She revealed the resident never asked for a dental exam so she did not developed a plan of care for resident #138 dental needs. 3. Record review for resident #177 revealed an admission MDS dated [DATE] which documented Urinary incontinence with the decision to be care planned. A review of resident #177 care plans revealed no evidence of a plan of care for resident #177 was developed to address urinary incontinence. Interview on 10/8/2015 at 11:00 AM with AA revealed resident #177 was assessed in the monthly nursing summary on 7/20/2015 as occasionally incontinent and started on a toileting program. Interview with NN on 10/8/2015 at 11:15 am indicated she was waiting to see if the toileting program worked for this resident before initiating a care plan for Incontinence. 4. Record review for resident #167 revealed a Quarterly MDS assessment dated [DATE] which documented in Section E- Behaviors that the resident had exhibited behaviors of delusions, hallucinations, verbal symptoms directed at others, other behavioral symptoms not directed at others and wandering. Review of the physician's orders [REDACTED]. Further record review of the Medication Administration Record [REDACTED]. Review of the care plans for resident # 167 revealed no evidence that a care plan was developed to address the use of antipsychotic medication. Interview conducted on 10/8/15 at 11:25 AM with the LPN/MDS Coordinator NN confirmed there was no care plan developed for the use of antipsychotic medication and that one should have been developed as soon as the resident began on the medication. She said the nursing staff is responsible for bringing it to her attention and they must not have told her that the resident began receiving an antipsychotic medication. 5. Record review for resident #200 revealed an Admission MDS assessment dated [DATE] which documented in Section D- Mood the resident exhibited moods of feeling down, depressed or hopeless, feeling tired or having little energy and having trouble concentrating on things. Section N- Medications documented that the resident received antidepressant medication seven (7) out of seven (7) days prior to the assessment. Further record review of the care plans for resident #200 revealed no evidence of a care plan for [MEDICAL CONDITION] drug use. Review of the physician's orders [REDACTED]. Interview conducted on 10/7 15 at 7:50 p.m. with the MDS Coordinator/LPN OO confirmed a care plan for [MEDICAL CONDITION] drug Use was not developed and should have been. She said she would develop one at this time. 2020-09-01