cms_GA: 5284

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
5284 JOE-ANNE BURGIN NURSING HOME 115272 321 RANDOLPH STREET CUTHBERT GA 39840 2015-06-12 329 D 0 1 PPN711 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record reviews and staff interviews, the facility failed to monitor residents receiving antipsychotic medications for potential adverse side effects on three (3) residents ( #9, 40, and 55) of twenty (20) residents receiving antipsychotic medications. The census was seventy one (71) residents and the census sample was thirty five (35). Findings include: 1. Record review for Resident #40 revealed a Quarterly Minimum Data Set (MDS) assessment having an Assessment Date of 3/23/15 which documented in Section I - Active Diagnosis, that the resident had [DIAGNOSES REDACTED]. Section N - Medications documented that the resident received antipsychotic medications. The current (MONTH) (YEAR) Physician order [REDACTED]. The Physician order [REDACTED]. However, there was no documentation to indicate side effects were being monitored, except for one (1) time in the six months. An interview conducted on 6/10/2015 at 12:15 p.m. with the Director of Nurses (DON) confirmed the order for side effects monitoring and there was only one documentation of side effects monitoring for Resident # 40. The DON further revealed the side effects monitoring is not consistent. 2. Review of Patient History Sheet dated 05/07/15 revealed resident #9 had [DIAGNOSES REDACTED]. Review of Optimus EMR (Electronic Medical Record) Current Care Plan dated 05/21/15 revealed that the resident had potential for drug related complications associated with use of [MEDICAL CONDITION] medications and interventions to administer medication as ordered, report and monitor side effects and behaviors. Review of Admission Sheet revealed that resident #9 was admitted on [DATE] and had a physician order [REDACTED]. 3. Review of Patient History Sheet dated 12/01/11 Resident #55 had [DIAGNOSES REDACTED]. Review of Optimus EMR Current Care Plan dated 03/19/15 for the resident revealed a potential for drug related complications associated with use of [MEDICAL CONDITION] drugs with interventions to administer medications as ordered; consult with pharmacy/MD to consider drug reduction; document and report movement disorder, report any behavior and side effects Review of Optimus EMR Mood and Behavior records dated (MONTH) (YEAR) to (MONTH) (YEAR) revealed resident #55 had sixty-eight (68) episodes of behavior and mood documented. There were no evidence of side effects being monitored. Reviewed of the Physician order [REDACTED]. However, there was no documentation to indicate side effects were being monitored. An interview on 06/10/15 at 1:11 p.m. with the Pharmacist revealed that the resident's [MEDICATION NAME] order included to monitor for side effects/behaviors. An interview on 06/10/15 at 12:15 p.m. with the Director of Nursing (DON) revealed that the resident had not been monitor for side effects as ordered. 2018-10-01