cms_GA: 2996

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
2996 EAGLE HEALTH & REHABILITATION 115618 405 S COLLEGE ST STATESBORO GA 30458 2017-12-18 842 D 1 0 OZA311 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review, the facility failed to ensure that care which followed the physician's orders for one resident, Resident (R)#1, of five sampled residents related to care and maintenance of a peripherally inserted central catheter (PICC) and maintenance of a gastrostomy tube ([DEVICE]) insertion site was documented in the resident's record, as preformed. Findings include: Record review revealed that the resident was admitted to the facility on (MONTH) 16, (YEAR) then transferred on (MONTH) 27, (YEAR) to an acute care hospital at the request of the family. Record review of R#1's admitting Physician's Orders dated (MONTH) 16, (YEAR), revealed orders to change the PICC line dressing every seven days and as necessary (PRN) when soiled, and orders to change the PICC line catheter cap every seven days, with blood draws, and PRN. Review of additional Telephone Orders, from the physician, were received and documented that same day in the Physician's Orders, without a time documented, to require observation of resident's sutures to the [DEVICE] site daily for signs and symptoms of infections, and to remove sutures from [DEVICE] site on 11/24/2017. Review of the R#1's Medication Administration Record (MAR) and Treatment Administration Record (TAR) revealed no documentation confirming that the PICC line dressing was checked or changed on 11/24/2017 or that the PICC line cap was changed on 11/24/2017, as indicated in the MAR. Continuing review of the MAR revealed that the [DEVICE] site was not recorded as checked on 11/23/2017 through 11/27/2017 and the sutures for R#1's [DEVICE] site were not recorded as having been removed on 11/24/2017. Review of R#1's Interdisciplinary Progress Notes revealed there was no documentation to confirm that the PICC line dressing was checked or changed on 11/24/2017, the PICC line cap was changed on 11/24/2017, nor the [DEVICE] site was checked for five days and there was not evidence that the [DEVICE] sutures were removed on 11/24/17. Interview with the Wound Care Nurse, Licensed Practical Nurse (LPN) GG on 12/18/2017 at 12:30 p.m. revealed that the orders should have been followed and agreed there was no evidence that this was done. LPN GG stated that she was on vacation during this time frame and other staff were providing wound care for the resident. During interview with the DON on 12/18/2017 at 4:35 p.m. to review R#1's Physician's Orders, the MAR and TAR, all dated 11/16/17 through 11/27/17, she confirmed that Physician Orders had been written for the PICC line dressing change on 11/24/2017 and the PICC line cap change on 11/24/2017, and the orders were transferred to the MAR but were not recorded as having been performed. Continuing review of Physician's Orders and the MAR, dated (MONTH) 16, (YEAR) revealed that the [DEVICE] site was not recorded as checked on 11/23/2017 through 11/27/2017 and the sutures for R#1's [DEVICE] site were not recorded as having been removed on 11/24/2017. The DON placed a phone call to LPN LL who provided care for the resident on 11/24/2017 who revealed that she was sure she did everything the resident needed that day but forgot to document it. 2020-09-01