cms_GA: 4534

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
4534 POWDER SPRINGS TRANSITIONAL CARE AND REHAB 115538 3460 POWDER SPRINGS ROAD POWDER SPRINGS GA 30127 2016-09-07 241 D 1 0 N1YJ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, interview and record review, the facility failed to ensure that two (2) residents (#10 and 11) were assisted with meals in a dignified manner from a sample of twenty-seven (27) residents. Findings include: 1. Observation on 9/6/16 at 1:33 p.m. revealed Certified Nursing Assistant (CNA) NN standing while feeding resident #10 as he lay flat in bed. Record review of resident #10's Care Plan initiated 5/25/16 revealed a focus that the resident receives a mechanically altered diet, fluctuating appetite with risk for weight loss, malnutrition, dehydration and aspiration related to Dysphagia and progression of dementia. His current [DIAGNOSES REDACTED]. Record review of the resident #10's Significant Change Minimum Data Set ((MDS) dated [DATE] revealed an assessment for Brief Interview for Mental Status (BIMS) of four (4) indicating the resident as having severely impaired cognition and requires extensive, one (1) person physical assistance for eating. Interview on 9/6/16 at 1:33 p.m. with CNA NN revealed that she was aware that CNA's are supposed to sit at eye level with the resident but didn't know why she did not do so. Interview on 9/6/16 at 1:37 pm with Licensed Practical Nurse (LPN) EE Charge Nurse revealed it is her expectation that staff will sit eye level with resident while assisting with eating. 2. Observation on 9/6/16 at 1:47 p.m. revealed CNA OO standing while feeding resident #11 as the resident sat upright in bed. Record review of resident #11's Care Plan initiated 4/25/13 and reviewed 8/16/16 revealed a focus that the resident is at risk for decline in nutrition/hydration status related to diabetes, failure to thrive and therapeutic diet. Risk for unavoidable weight loss, malnutrition, dehydration and aspiration related to progression of dementia and diabetes. Record review of the resident #11 Annual Review MDS dated [DATE] revealed an BIMS assessment of three (3) indicating the resident as having severely impaired cognition and requires extensive, one (1) person physical assistance for eating. Interview on 9/6/16 at 1:50 p.m. with LPN MM, Unit Manager who stated that it is her expectation for staff to sit at eye level to feed the resident because standing during feeding is a dignity issue. Review of 8/24/16 Tips for Feeding Residents inservice sign-in sheet revealed CNA OO attended the inservice which included the following topics: Assistant should be seated at bedside. Resident should be sat upright when eating and thirty (30) minutes after eating. No leaning-position with pillows if needed. Place arms on table/tray and adjust table height to reach between patient's waist and mid-chest Interview on 9/6/16 at 10:00 am with the Director of Nursing (DON) revealed there is no facility policy on feeding and positioning residents. 2019-09-01