cms_GA: 10626

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
10626 MUSCOGEE MANOR & REHAB CENTER 115146 7150 MANOR RD COLUMBUS GA 31907 2010-09-01 157 D     4BQ511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, it was determined that the facility failed to ensure that the physician was consulted in a timely manner for two (2) residents (#s 1 and 2 ), who had experienced significant changes in condition related to urinary tract symptoms, from a survey sample of eight (8) residents. Findings include: 1. Record review for Resident #1 revealed a Nurses Progress Note of 07/30/2010 at 9:45 p.m. which documented that the resident was noted to have cloudy and foul smelling urine. However, further record review revealed no evidence to indicate that the physician was consulted regarding this resident's significant change in physical condition until a Nurse's Progress Note of 08/03/2010 at 1:30 p.m. documented that a new order had been received. An order signed by the nurse practitioner, and dated 08/03/2010 at 8:50 a.m., specified that urine be collected for a urinalysis with culture and sensitivity. This represented an approximate three (3) day delay in physician consultation. A urinalysis laboratory report for Resident #1 dated as collected on 08/04/2010 documented urine with a positive [MEDICATION NAME], three (3) plus abnormal white blood cells, and one (1) plus abnormal protein. A physician's telephone order of 08/06/2010 specified that the resident receive the [MEDICATION NAME] milligrams twice daily for three weeks for a urinary tract infection. 2. Record review for Resident #2 revealed a Nurse's Progress Note of 08/16/2010 at 6:30 a.m. which documented that during a urinary catheter change, thick and milky white secretions were noted in the resident's peri-area. A foul odor was also noted. This Note did not document physician consultation regarding the resident's significant change in status at that time, but rather documented that the resident had been added to physician rounds for evaluation and treatment. A Nurse's Progress Note of 08/24/2010 at 7:30 p.m. documented that upon assessment of the resident's catheter, the resident was noted to have a frothy discharge with odor at that time. However, further record review revealed no evidence to indicate that the physician was consulted at that time, or had been consulted since the resident's development of urinary symptoms on 08/16/2010. The physician was not consulted regarding this resident's symptoms until after surveyor inquiry on 08/25/2010 at 4:00 p.m. (representing a nine day delay in physician consultation). On 08/25/2010, a verbal physician's orders [REDACTED]. A review of the results of the urinalysis of 08/26/2010 revealed a positive [MEDICATION NAME] and abnormal white blood cells of 30 to 50. A physician's verbal order of 08/27/2010 specified for the resident to receive the antibiotic [MEDICATION NAME] 100 milligrams twice daily for seven days. The above was acknowledged by licensed staff "AA" during interview on 08/25/2010 at 4:50 p.m.. 2014-01-01