cms_GA: 4585

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
4585 MOLENA HEALTH & REHAB 115693 185 HILL STREET MOLENA GA 30258 2018-09-20 656 D 1 1 IJ4211 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview, record review, and review of the facility policy titled Care Plans, Comprehensive Person-Centered, the facility failed to follow the Care Plan related to providing showers for two residents (R) (A and B) out of 37 sampled residents. Findings include: 1. R A was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the Minimum Data Set (MDS) Annual assessment dated [DATE] documented R A with a Brief Interview of Mental Status (BIMS) score of 11 indicating cognition moderately impaired. R A required two-person physical help limited to transfer only with bathing. Review of the Care Plan for R A reviewed on 6/29/18 documented resident requires supervision and some limited to extensive staff assistance with her Activities of Daily Living (ADL's). Interventions included: Baths Tuesday, Thursday, and Saturday from 3-11 p.m. During an interview on 9/17/18 at 10:02 a.m., R A revealed that the North hall shower room does not work. Resident stated that all residents must use the South hall shower room. Resident stated that she does not always get a shower and she has waited for so long that she washed herself in her bathroom. Interview with Licensed Practical Nurse (LPN) BB on 9/19/18 at 3:30 p.m. revealed that the showers sheets for R A for (MONTH) and (MONTH) (YEAR) could not be located. 2. R B was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the Quarterly MDS assessment dated [DATE] documented R B with a BIMS score of 08 indicating cognition moderately impaired. R B required set-up help only with physical part of bathing activity. Review of the Care Plan revised on 8/1/18 documented R B requires supervision with most ADL's. Resident may require extensive assistance with bath/showers at times. Interventions included bath/ shower as scheduled and as needed, assist as needed. Review of the Certified Nursing Assistant (CNA) Skin Assessment Checklist provided by the facility as the shower sheets revealed R B received showers on the following dates in (MONTH) and September: 8/3/18, 8/7/18, 8/14/18, 8/23/18, 8/28/18, 8/31/18, 9/4/18, 9/8/18, 9/11/18, 9/13/18, and 9/19/18. During an interview on 9/20/18 at 3:52 p.m., Director of Nursing (DON) revealed that she expects the care plan should be followed and shower sheets are to be completed and put in her box. DON stated that if showers are missed, they should be offered and completed on the next shift. Review of the facility policy titled Care Plans, Comprehensive Person-Centered revised (MONTH) (YEAR) revealed: a comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. Cross Refer to F676 2019-09-01