cms_GA: 718

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
718 BRIARWOOD HEALTH AND REHABILITATION CENTER 115322 3888 LAVISTA ROAD TUCKER GA 30084 2017-09-21 282 D 0 1 6G1L11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and resident and staff interview, the facility failed to follow the plan of care related to pain management for one resident (#51). The sample size was 32. Findings include: Review of the clinical records for Resident (R)#51 revealed a current [DIAGNOSES REDACTED]. Review of the most recent Minimum Data Set MDS) assessment, a quarterly, dated 8/14/17 revealed the resident was assessed as having a Brief Interview for Mental Status (BIMS) score of 15, indicating the resident was cognitively intact. On the quarterly MDS assessment of 8/14/17, R#51 was also assessed as receiving scheduled pain medications, receiving no non-medication interventions for pain, and experiencing severe pain almost constantly that could affect day-to-day activities and/or make it difficult to sleep at night. A review of the R#51's plan of care for chronic pain related to chronic pai[DIAGNOSES REDACTED], last updated 8/24/17 revealed interventions such as: anticipate the resident's need for pain relief and respond immediately to any complaints of pain; evaluate the effectiveness of pain interventions; observe/document for side effects of pain medication; observe/record pain characteristics during rounds and as needed: Quality (e.g. sharp); Severity (1 to 10 scale); observe/record/report to the nurse the resident complaints of pain or requests for pain treatment. A review of the clinical records for R#51 revealed she returned from a leave of absence to visit her family on 9/15/17. A further review of the resident's clinical records revealed that the resident's scheduled pain medication - [MEDICATION NAME] 5-325mg was not dispensed by the remote pharmacy system with the resident's other prescribed medication between 9/15/17 at 9:24 p.m. and 9/17/17 at 3: 53 p.m. due to the unavailability of a current written prescription. During this time, the staff did not: anticipate the resident's need for pain relief by having the resident's scheduled pain medication available; respond immediately to complaints of pain; offer other available pain management interventions such as PRN pain relief, except for one instance on 9/17/17. 2020-09-01