cms_GA: 162

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
162 HABERSHAM HOME 115099 HIGHWAY 441 NORTH, BOX 37 DEMOREST GA 30535 2017-05-18 322 D 1 1 KH1211 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, record review and staff interview, the facility failed to check for placement and residual prior to giving water flushes, medications, and enteral formula through a gastrostomy tube (GT) for one resident (R) #37. The sample size was 37 residents. Findings include: During a medication pass observation on 5/17/17 beginning at 12:54 p.m., Licensed Practical Nurse (LPN) KK was observed to prepare the medications for R #37 for administration via her GT. During further observation, the nurse connected the GT to a 60-mL (milliliter) syringe, and gave 80 mL of water flush, followed by the crushed medications dissolved in water, followed by a can of enteral formula, and followed with an additional 80 mL of water flush. The nurse was not observed to check the resident's GT for placement and/or residual enteral formula prior to the above observation. Review of R #37's physician's orders [REDACTED]. During interview with LPN KK on 5/17/17 at 1:25 p.m., she stated that she had forgotten to bring her stethoscope into R #37's room when she gave her medications, and verified that she did not check for placement of the GT or residual first. Review of the facility's Med Administration Enteral Feeding Tube policy revised (MONTH) of 2014 noted to check for correct placement of tube by injecting air and listening with stethoscope to abdomen or placing end of tube in glass of water and observing for air bubbles or aspiration of stomach contents. Review of the facility's Guidelines for Enteral Feeding policy last revised (MONTH) (YEAR) noted that open feeding systems bolus and/or gravity had the highest risk of side effects like abdominal distension, aspiration, reflux, diarrhea, vomiting and generation of high residual volumes. 2020-09-01