cms_GA: 123

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

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
123	AZALEA HEALTH AND REHABILITATION CENTER	115044	1600 ANTHONY ROAD	AUGUSTA	GA	30907	2017-10-26	281	D	0	1	8OVO11	Based on observation, staff interview, record review, review of the State of Georgia Rule 410-10-01 Standards of practice for Registered Professional Nurses and Rule 410-10-02 Standards of Practice for Licensed Practical Nurses and review of policy and procedure of Medication Administration-Preparation and general guidelines dated 05/2012,the facility failed to maintain professional nursing standards of quality and nursing standards of practice as evidence by performing finger stick blood sugars on two of two residents Findings include: 2. During observation on 10/25/17 at 5:32 p.m., Registered Nurse (RN) CC was noted to perform Finger Stick Blood Sugar (FSBS) check during routine afternoon med pass. The EvencareG3 Glucometer was lying on top of the medication cart when surveyor approached RN. Registered Nurse gathered the supplies, including glucometer, lancet, alcohol swabs and cotton balls. She failed to cleanse the glucometer before entering the residents room. Upon entering the residents room, she proceeded to lay all the supplies needed for the FSBS on the residents bed, without using a protective barrier. Registered nurse did not wash her hands before performing FSBS, nor did she wear any gloves during the procedure. Post procedure, RN gathered up the used supplies, including the lancet, and discarded them in the red trash bin on the med cart. She placed the glucometer on top of the medication cart, without cleansing the meter. She did not wash her hands after performing the procedure. Surveyor asked if she had any other FSBS to check at this time and she replied No. She proceeded down unit one hallway to administer medications to residents. Interview on 10/26/17 at 4:38 p.m., with DON, stated it is her expectation that staff clean the glucometer before and after each use for three minutes wetness, wearing gloves, disposing of sharps in sharps containers. She further stated that the nurses are to use a barrier between clean and dirty fields. She states that there has not been any inservice trainings for the nursing staff in the past year. Review of the Medline Operator's Manual revealed that the glucose meter should be cleaned and disinfected between each patient use using Clorox Healthcare Germicidal and Disinfecting wipes for one minute, and then allow to air dry. Cross refer to F441	2020-09-01