cms_GA: 6973

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

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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
6973 SGMC LAKELAND VILLA 115707 138 WEST THIGPEN AVE LAKELAND GA 31635 2013-02-14 279 D 0 1 YKS711 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, staff interview and record review, it was determined that the facility failed to develop a comprehensive plan of care to address the range of motion and positioning needs of one resident (#13) and the vision needs of one resident (#46) in a total sample of 29 residents. Findings include: 1. Licensed staff coded resident #13, on the 9/19/12 and 12/12/12 Mimimum Data Set (MDS) assessments, as having decreased range of motion and limited mobility, chronic pain due to limited mobility and contractures in his/her upper and lower extremities. It was observed on 2/13/13 at 11:11 a.m., that first finger on the resident's right hand was contracted. There were not splinting devices in use. On 2/13/13 at 1:22 p.m., licensed practical nurse (LPN) PP said that three people had to assist the resident to get dressed because the resident's legs would not bend. She said that since the resident was on hospice services, they did not use splints. During an interview on 2/13/13 at 4:00 p.m., the Director of Rehabilitation services provided therapist reports dated 12/07/11 and 12/14/12 which noted that the resident was to continue to wear Prevalon heel floating boots. There was a recommendation for an abduction wedge to keep the resident's legs separated. There was documentation on the 3/06/12 interdisciplinary team collection form about the resident's decreased mobility and hospice status. Documentation on the form noted that the resident would benefit from an abduction wedge and floating heel boots. The team documented at that time that the resident's legs were scissored. However, staff did not develop a plan of care to address the resident's range of motion and positioning needs See F318 for additional information regarding resident # 13. 2. Review of an 8/09/12 vision consultation report revealed that the physician diagnosed resident #46 as having moderate to severe [MEDICAL CONDITION] that required removal as soon as possible, and mild [MEDICATION NAME] degeneration. However, a review of the 9/15/12 annual MDS assessment revealed that licensed staff had inaccurately coded the resident as having had no visual impairment. Review of the 10/11/12 vision consultation report revealed that the physician diagnosed the resident with visually significant catracts. However, a review of the 11/28/122 quarterly MDS assessment revealed that licensed staff had inaccurately coded the resident with no visual impairment. During an interview on 2/13/13 at 12:25 p.m., the MDS Coordinator and DON said that they were not aware that the resident had had a vision consultation and that vision problems had been diagnosed . Therefore, a care plan had not been deveoped to address the resident's visual impairment and visual needs. 2017-09-01