cms_GA: 5487

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.

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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
5487 COOK SENIOR LIVING CENTER 115655 706 NORTH PARRISH AVE . ADEL GA 31620 2016-01-14 328 D 0 1 DE3911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to ensure that oxygen was administered at the correct rate for two residents (#2 and #72)and failed to properly store oxygen equipment for one resident (#2) from a total sample of thirty (30) residents. Findings include: The facility had a Respiratory Therapy policy and procedure. The policy documented that respiratory equipment was to be stored in a plastic bag and labeled with the resident's name and date of when the equipment would need to be changed. 1. Resident #2 had a [DIAGNOSES REDACTED]. There was a physician's orders [REDACTED]. During an observation on 1/13/16 at 8:21 a.m. with licensed nursing staff HH, the resident was observed in his/her room without oxygen being administered. There was nasal cannula tubing attached to the wall connected oxygen flowmeter. The nasal cannula end was laying on the floor. The oxygen flowmeter was on and set to deliver oxygen at a rate of eight (8) liters per minute. There was also an oxygen mask and tubing attached to an oxygen concentrator. The oxygen mask was hanging on a dresser. The oxygen concentrator was off. Licensed nursing staff HH replaced the nasal cannula (that had been laying on the floor) and the oxygen mask (that was hanging on the dresser), applied the new nasal cannula to the resident and adjusted the rate to two (2) liters per minute. After five minutes, licensed nursing staff HH returned and adjusted the oxygen rate to three (3) liters per minute. During an observation on 1/14/16 at 8:40 a.m. resident #2 was observed receiving oxygen via a nasal cannula and tubing attached to the wall connection flowmeter at a rate of one (1) liter per minute. On 1/14/16 at 8:41 a.m. licensed nursing staff FF confirmed the rate of one (1) liter per minute was incorrect and adjusted the flowmeter to deliver oxygen at three (3) liters per minute as ordered. 2. Resident #72 had a physician's orders [REDACTED]. During an observation on 1/14/16 at 8:35 a.m., resident #72 was receiving oxygen at a rate of four (4) liters per minute via a nasal cannula. During an interview on 1/14/16 at 8:37 a.m. licensed nursing staff GG confirmed the oxygen rate should be at two (2) liters per minute and adjusted it to the correct rate at that time. 2018-09-01