cms_GA: 5371

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
5371 OAKS HEALTH CTR AT THE MARSHES OF SKIDAWAY ISLAND 115715 95 SKIDAWAY ISLAND PARK ROAD SAVANNAH GA 31411 2015-02-05 329 D 0 1 LJ4V11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, facility policy and staff interviews, the facility failed to monitor for potential side effects for one (1) of two (2) residents (#5) receiving an Antipsychotic medication from a sample of seventeen (17) residents. Findings include: Resident #5 was admitted to the facility on (MONTH) 1st, 2013 with [DIAGNOSES REDACTED]. Review of (MONTH) (YEAR) physician orders [REDACTED]. (an Antipsychotic) 25 milligrams (mg) daily. Review of the Electronic Medical Record (EMR) for resident #5 revealed no evidence of monitoring for potential side effects of an Antipsychotic medication. Interview with the Assistant Director of Nursing (ADON) on 2/3/15 at 3:50 p.m. revealed that there was no form in the EMR for monitoring potential side effects of Antipsychotic medications. Interview with the Director of Nursing (DON) on 2/4/15 at 1:00 p.m. confirmed that there was no consistent monitoring for potential side effects of an Antipsychotic medication performed for resident #5. Interview on 2/4/15 at 1:45 p.m. with the ADON confirmed no consistent monitoring for potential side effects of an Antipsychotic medication was conducted for resident #5. The ADON, who is also the Minimum Data Set (MDS) coordinator, stated that Abnormal Involuntary Movement Scale ( AIMS ) were conducted on 1/3/14, 3/7/14, 4/22/14, 7/22/14, and 2/3/15 on resident #5. On 2/5/15 at 8:35 a.m. the ADON produced a facility policy on Antipsychotic Medication Use which stated in #14 of the Policy Interpretation and Implementation that Nursing staff shall monitor and report any of the following side effects to the Attending Physician: Sedation, Orthostatic [MEDICAL CONDITION], Lightheadedness, Dry mouth, Blurred vision, Constipation, [MEDICAL CONDITION], Increased psychotic symptoms ([MEDICATION NAME]), Extrapyramidal effects, Akathisia, [DIAGNOSES REDACTED], Tremor,Rigidity,Akinesia, or tardive dyskinesia. 2018-10-01