cms_GA: 4333

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
4333 PLEASANT VIEW NURSING CENTER 115411 475 WASHINGTON STREET METTER GA 30439 2016-11-23 157 J 1 0 C00C11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and interviews the facility failed to notify the physican when insulin was withheld or were not within acceptable ranges (70-100) for resident (R7) and; failed to notify the physician of a Speech Therapy (ST) recommendation which indicated nothing by mouth (NPO) for R35. On (MONTH) 2, (YEAR) at 5:00 p.m., the previous Administrator and Director of Nursing (DON) were notified of an Immediate Jeopardy (IJ) when the facility failed to ensure a licensed nurse (LN) was assigned to the secured unit, on 7/20/16 at 12:10 a.m. R17 turned off the door alarm, on the secured unit went out onto the smoking porch to get a soft drink and fell suffering a laceration to the head, there was no licensed nurse (LN) assigned to the secured unit, and only one nurse onsite in the facility. On 7/27/16, a registered nurse (RN) on the secured unit worked while impaired. The facility failed to administer medications and assess blood sugar levels (FSBS) as ordered by the physician for twenty-two (22) residents on 8/21/16 at 6:00 a.m. and on 10/9/16, R7 sustained bilateral nasal bone fractures and a right cerebellar subacute hematoma, after running into a door frame, and was hospitalized with a blood sugar of 567 and [DIAGNOSES REDACTED]. On 11/22/16 the current interim Administrator, and DON were notified of IJ that was determined to exist on 10/21/16 when the facility failed to ensure the nutritional and hydration needs were maintained for R35 a Speech Therapist (ST) recommended that R35 receive nothing by mouth (NPO) due to the inability of the R35 to swallow. The ST recommended an alternate means of hydration and nutrition, however the physician was not notified and the staff placed R35 NPO. R35 remained NPO until 10/23/2016 when the family intervened and R35 was transferred to the hospital and was admitted on [DATE] with a [DIAGNOSES REDACTED]. At the time of exit on (MONTH) 23, (YEAR), an acceptable Allegation of Compliance (AoC) had not been received therefore the IJ remains on going. Findings include: 1. Record review for R35 revealed that on 10/20/2016, ST, wrote a recommendation for Nothing by Mouth (NPO) with alternative means of nutrition. The physician was not notified of the recommendation by ST, however on 10/21/2016 the facility implemented the recommendation. Interview on 11/21/16 at 2:19 p.m. with Licensed Practical Nurse (LPN) AA revealed that she had signed off on the ST recommendation of NPO and did not think about contacting the physician. She could not give a reason for not contacting the doctor or following up with the DON. Interview on 11/23/16 at 10:19 a.m. with Registered Nurse (RN) ZZ who was working on 10/23/16 revealed that she did not contact the physician because she thought the family was going to put R35 on Hospice. Interview with Physician XX on 11/23/2016 at 10:37 a.m. via telephone revealed he was not made aware of the condition of R35. He further revealed that he would not have left the resident in such a condition. He stated the staff must have contacted the on-call Physician. Interview on 11/23/16 at 11:00 a.m. via telephone with the on-call Physician NN revealed that he was not aware of the resident and no one had contacted him. Cross refer to F281, F325, and F327 2. Record review revealed R7 had a [DIAGNOSES REDACTED]. The insulin was not administered as ordered in (MONTH) (YEAR) three (3) times; in (MONTH) (YEAR) insulin was withheld a total of five (5) times; in (MONTH) (YEAR), on 9/16/16 at 6:30 a.m. the insulin was withheld for an initial blood sugar of 31 and a follow up blood sugar of 120, and; in (MONTH) (YEAR) on 10/7/16. There was no evidence in the clinical record that Licensed Nurses (LNs) notified the physician that they were withholding the insulin and not administering it as ordered. Interview on 10/27/16 at 10:07 a.m., the previous DON stated that she would expect LNs staff to administer insulin as ordered. Interview on 11/1/16 at 10:55 a.m., the Physician for R7 stated that the LN should be administering the routine insulin as ordered, not withholding it. In addition the Physician stated that on 9/25/16 when the insulin was withheld for the FSBS of 31 the LN should have called him. Cross refer to F309 2019-11-01