cms_GA: 1328

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
1328	PROVIDENCE OF SPARTA HEALTH AND REHAB	115397	60 PROVIDENCE STREET, PO BOX 86	SPARTA	GA	31087	2017-07-20	333	D	0	1	519O11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and staff interview, the facility failed to ensure that one resident (R) (R#61) of six (6) residents observed during medication administration was free from significant medication errors. The sample size was 27 residents and the census was 57 residents. Findings include: Review of the medical record for R#61 revealed that she had a gastrostomy tube ([DEVICE]) and a [DIAGNOSES REDACTED].) per milliliters (mls.) solution, 7.5 mls. (750 mgs.) via [DEVICE] twice a day for [MEDICAL CONDITION]; [MEDICATION NAME] 10 mgs. per ml. solution, 4 teaspoons (or 20 mls.) (200 mgs.) via [DEVICE] twice a day for [MEDICAL CONDITION]; and [MEDICATION NAME] 125 mgs. per 5 mls. suspension, 12 mls. (300 mgs.) via [DEVICE] daily for [MEDICAL CONDITION]. During observation of medication administration on 7/19/17 at 8:05 a.m., Licensed Practical Nurse (LPN) AA removed the bottles of [MEDICATION NAME] and [MEDICATION NAME] from the medication cart and placed them on the over bed table for R#61. The over bed table was noted to be at the LPN's waist level and slant down at one end. Without shaking the [MEDICATION NAME] as recommended on the bottle label, LPN AA used the syringe which was attached to the [MEDICATION NAME] bottle and withdrew 5 mls. of the [MEDICATION NAME] and placed it in a calibrated medication cup. LPN AA then poured [MEDICATION NAME] into a calibrated medication cup and [MEDICATION NAME] into a calibrated medication cup. Prior to the LPN administering the [MEDICATION NAME] and [MEDICATION NAME] to the resident, the surveyor intervened and requested to check the medications on a level surface and at eye level. Once placed on the top of the medication cart, the [MEDICATION NAME] measured 10 mls. and the [MEDICATION NAME] measured approximately 22 mls. After surveyor intervention, LPN AA poured out the excess [MEDICATION NAME] to obtain a dose of 7.5 mls. and poured out the excess [MEDICATION NAME] to obtain a dose of 20 mls as ordered by the physician. LPN AA then administered the medications to the resident through her [DEVICE]. LPN AA failed to shake the [MEDICATION NAME] suspension in the bottle as recommended by the manufacturer prior to administering the [MEDICATION NAME] to the resident. This failure had the potential to lead to an under dose or over dose of the medication. After failure to shake the [MEDICATION NAME] as recommended by the manufacturer, LPN AA incorrectly administered 5 mls. (125 mgs.) of [MEDICATION NAME] to the resident instead of 12 mls. (300 mgs.) as ordered by the physician. Without surveyor intervention, LPN AA would have incorrectly administered 10 mls. (1000 mgs.) of [MEDICATION NAME] to the resident instead of 7.5 mls. (750 mgs.). Without surveyor intervention, LPN AA would have incorrectly administered 22 mls. (220 mgs.) of [MEDICATION NAME] to the resident instead of 20 mls. (200 mgs.) as ordered by the physician. Interview with the Director of Nursing (DON) on 7/20/17 at 9:35 a.m. revealed that she expected the medication nurses to use a calibrated syringe to draw up liquid medications to ensure accurate dosages of the liquid medications. Continued interview revealed that the facility had in-serviced licensed nursing staff on medication administration on 2/3/17. Review of the sig-in sheet for that in-service revealed that LPN AA had attended the in-service. review of the resident's medical record revealed [REDACTED]. Continued review revealed that the physician did not order any routine laboratory tests to include [MEDICATION NAME] and [MEDICATION NAME] levels. Further review of the medical record revealed that the resident had a [MEDICATION NAME] level obtained in the hospital on [DATE] which was abnormally low at 4 (normal range is between 10 and 20).	2020-09-01