cms_GA: 170

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
170	NHC HEALTHCARE ROSSVILLE	115104	1425 MCFARLAND AVE	ROSSVILLE	GA	30741	2018-04-19	758	D	0	1	IBN211	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and policy review, the facility failed to discontinue orders for as needed (PRN) antianxiety medications for two residents (#80 and #239) after 14 days, failed to indicate the need to extend the order beyond that period, and failed to document the reason for the extension or the period during which the extended order should be in effect. The sample size was 21. Findings include: Review of the undated policy titled, Medication Utilization and Prescribing - Clinical Protocol, the physician and staff of the facility are to review the rationale for prescribed medications that lack a clear indication for use or are being used intermittently on a PRN basis, and the physician will provide/document a rationale when the dose, duration, or frequency of a prescribed medication exceeds the accepted practice or manufacturer's recommendation. 1. Review of the clinical records for Resident (R)#80 revealed she was admitted on [DATE] with [DIAGNOSES REDACTED]. Review of the admission minimum data set (MDS) assessment of 1/8/18 revealed active [DIAGNOSES REDACTED]. The assessment also documented that the resident was receiving antianxiety medications 7 of 7 days. Review of the current order sheets for R#80 revealed an order for [REDACTED]. Review of the medication administration records (MARs) for R#80 revealed no administration of PRN [MEDICATION NAME] in February, (MONTH) or (MONTH) of (YEAR) 2. Review of the clinical record revealed R#239 was admitted on [DATE] with current and has current [DIAGNOSES REDACTED]. Review of R#239's quarterly MDS assessment of 2/8/18 revealed active [DIAGNOSES REDACTED]. The assessment also documented that the resident had was receiving antianxiety medications. Review of the current physician order [REDACTED]. Review of MARs revealed that PRN [MEDICATION NAME] 1 mg was last administered to R#239 on 3/2/18. Interview on 4/19/18 at 9:32 a.m. with the Assistant Director of Nursing (ADON) revealed residents on hospice such as R#80 and R#239 have their medication orders managed by the hospice physician. However, medications for all the residents are also managed and reviewed by the facility's pharmacist. When a resident receives a PRN order for a [MEDICAL CONDITION] medication such as [MEDICATION NAME], the pharmacy reviews the order and adds a 14-day stop order for that medication. She was not sure why such a stop order was not added to the resident's order for the [MEDICATION NAME] 1 mg every four hours as needed. Further review of the MARs for R#80 and R#239 on 4/19/18 at 2:00 p.m. revealed the orders for PRN [MEDICATION NAME] was discontinued as of 4/19/18.	2020-09-01