cms_GA: 583

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
583	MANOR CARE REHABILITATION CENTER - MARIETTA	115283	4360 JOHNSON FERRY PLACE	MARIETTA	GA	30068	2017-09-21	514	D	0	1	N4J711	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, record review and review of facility policy titled MEDICATION AND TREATMENT ADMINISTRATION GUIDELINES revised 12/2014, the facility failed to clarify and transcribe orders for a hypertensive medication for one of six sampled residents (R#405). Findings include: Review of R#405's admission medications dated 9/16/17 revealed two orders for [MEDICATION NAME] 2.5 mg (milligrams) Monday through Saturday and 5 mg on Sunday. On 9/17/17 the attending physician wrote an order for [REDACTED]. Nurses were documenting the 2.5 mg of both medications were being given. Interview with Registered Nurse (RN) DD on 9/19/17 at 12:35 p.m., revealed she documented giving both the [MEDICATION NAME] and [MEDICATION NAME] on 9/19/17. She stated it was a duplicate order and it was my bad, I should have discontinued one. She further stated she would follow up with the physician and clarify the orders. Interview with Licensed Practical Nurse (LPN) EE at 1:31 p.m. on 9/19/17, she confirmed someone should have clarified the order with the physician. Interview with the attending physician on 9/19/17 at 1:34 p.m., revealed he wanted the [MEDICATION NAME] to be given daily. He stated he had never seen two different dosages of [MEDICATION NAME] and he did not see any benefit to the resident. Review of the facility policy titled MEDICATION AND TREATMENT ADMINISTRATION GUIDELINES revised 12/2014 revealed Orders are transcribed and noted by the licensed nurse.The licensed nurse noting an order is responsible for accurate transcription and initiation of orders, including removal of discontinued medications from medication carts. Interview with the Assistant Director of Nursing (ADON) on 9/20/17 at 9:10 a.m., revealed she would have expected the nurse taking the order off to verify the medications, ensure it was not a duplicate and clarify if needed.	2020-09-01