cms_GA: 6885

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
6885 OAKS - SCENIC VIEW SKILLED NURSING, THE 115393 205 PEACH ORCHARD ROAD BALDWIN GA 30511 2013-02-14 157 D 0 1 P02P11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and staff interview the facility failed to notify the physician timely for two (2) residents on a sample of thirty-three (33) residents. One resident, (Q) developed a pressure ulcer and one resident, (# 253) had significant weight loss. Findings include: Resident #253 was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. The resident had an admission weigh of 200.8 pounds. Further review of the weight record indicated the resident had a weight of 190.4 pounds on 12/25/13 which indicated a significant weight loss of 5.1% since admission. In addition, the resident had a weight of 179.2 on 1/12/13 which indicated a significant weight loss of 21.6 pounds or 10.7% in one month. The resident had an Admission Minimum Data Set assessment dated [DATE] which indicated the resident had no weight loss or gain prior to admission. Review of the Weight Progress Notes Form revealed an entry dated 12/27/12 which identified a weight loss of 10.4 pounds since admission. A snack at 3:00 p.m. each day of milk and a sandwich was added as an intervention. However, there was no indication the physician was notified of the significant weight loss. During an interview on 2/13/13 at 3:50 p.m. Licensed Practical Nurse AA stated she was aware of the weight loss on 12/25/12 and should have completed the Form for Significant Weight Loss. She further stated this would have reminded her to notify the physician of the significant weight loss. She confirmed she did not notify the physician of the significant weight loss until 2/12/13. Review of resident Q's clinical record revealed they were admitted to the facility with a fractured left hip, and also had [DIAGNOSES REDACTED]. Review of a right foot and ankle x-ray obtained on 02/04/13 revealed that the resident had a [MEDICAL CONDITION] malleolus and distal fibula, with mild lateral subluxation of distal tibia. Review of orthopedic physician's orders [REDACTED]. Review of Nurse's Notes dated 02/09/13 revealed that the resident was noted with a raised blister to the lateral malleolus. Review of physician's orders [REDACTED]. During interview with LPN Treatment Nurse BB on 02/13/13 at 8:55 a.m., she stated that the ankle blister developed from the velcro walking boot. During further interview, she stated that the blister was discovered on a Saturday by the charge nurse, and the weekend treatment nurse used a facility protocol to cover the area with an [MEDICATION NAME] dressing. During interview with LPN CC on 02/13/13 at 9:15 a.m., she stated that when she found the blister on resident Q's ankle on 02/09/13, she did not call the physician because it was a weekend. Upon further interview, she stated that she notified the physician by making an entry of the new wound in the Medical Consultation Log kept at the nurse's station. Review of the facility's policy and procedure entitled Actual Loss of Skin Integrity: Stage II/Partial Thickness Wound Protocol noted to notify the physician and legal representative of any new areas. 2017-09-01