cms_GA: 4066

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
4066 SEARS MANOR NURSING HOME 115520 3311 LEE STREET BRUNSWICK GA 31521 2017-04-25 329 D 1 0 PUN411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on clinical record review, staff interviews, and review of the facility's policy titled [MEDICAL CONDITION] Medication Monitoring, the facility failed to ensure behavioral monitoring was being completed for one resident (R), #1, who was receiving antipsychotic and antianxiety medications, [MEDICATION NAME] and [MEDICATION NAME] from a sample of three residents. Findings Include: The facility's policy [MEDICAL CONDITION] Medication Monitoring most recently dated (MONTH) (YEAR), revealed, 'Nurses will monitor behaviors and side effects and report to Medical Doctor (MD) as needed', and 'The facility supports the goal of determining the underlying cause of behavioral symptoms so the appropriate treatment of [REDACTED]. Review of the medical record revealed that R#1 was admitted to the facility with diagnoses, per the Face Sheet including: [MEDICAL CONDITION] without behavioral disturbance, repeated falls, vitamin D deficiency, [MEDICAL CONDITIONS], essential hypertension, gastro-[MEDICAL CONDITION] reflux without esophagitis, [MEDICAL CONDITION] Stage 3 (moderate), and dysphagia. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] and the annual MDS assessment dated [DATE] indicated that R#1 had a Brief Interview for Mental Status (BIMS) score of 2 out of 15 indicating the resident had severely impaired cognition. The resident was assessed as exhibiting no behaviors during the look back period. The physician's orders [REDACTED]. The Medication Administration Record [REDACTED]. There was no record in the MAR indicated [REDACTED]. Review of the Progress Notes for R#1 dated 12/2/16 through 4/23/17 revealed no evidence of any documentation of behaviors. Review of the Patient at Risk (PAR) notes revealed no behaviors had been documented. During an interview with the Director of Nursing (DON) on 4/25/17 at 11:00 a.m., she acknowledged that she was unable to find any documentation in the resident's clinical record to indicate the behaviors. Continued interview with the DON revealed she confirmed that monitoring for [MEDICAL CONDITION] medications was not on the resident's MAR. An interview with the MDS Coordinator QQ on 4/25/17 at 12:50 p.m. revealed that the resident had never been assessed with [REDACTED]. 2020-08-01