cms_GA: 7833

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.

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
7833 SCEPTER REHABILITATION AND HEALTHCARE CENTER, LLC 115643 3000 LENORA CHURCH DRIVE SNELLVILLE GA 30078 2012-06-21 278 D 0 1 U3SV11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and staff interview, the facility failed to accurately assess three (3) residents, (#137, #186, #3) from a sample of thirty-five (35) residents. Findings include: 1. Record review revealed resident # 137 was admitted in 01/2012 with primary diagnosis' of [MEDICAL CONDITION], muscle weakness, and difficulty in walking. The Minimum Data Set ((MDS) dated [DATE] assessed the resident under 'transfers' as a three (3); requiring extensive assistance with two (2) person assist and 'balance' during transitions as not steady. The resident was observed on 6/18/12, 6/19/12, and 6/20/12 walking throughout the facility, to and from the dining room without assistance, and visiting with other residents and staff. During an interview with MDS Coordinator AA on 6/20/12 at 1:30 p.m., staff reported that the transfer information on the MDS dated [DATE] was obtained by the Certified Nursing Assistant (CNA) daily trackers, nursing monthly summaries, and observation of the resident. After reviewing the CNA tracking sheets, the physical therapy discharge summary and observing the resident, staff agreed that the 4/25/12 MDS was incorrect. During an interview with Licensed Practical Nurse (LPN) CC on 6/19/12 at 3:00 p.m., staff reported that since the resident was transferred to the C Hall in February, the resident has been ambulatory and able to transfer herself with only verbal cues. Review of the Physical Therapy Progress Report and Discharge Summary dated 3/07/12 revealed that the resident's current level of function for transfers is the patient is able to safely transfer to and from bed/wheelchair requiring supervision (needs verbal cueing but no physical assist). Summary of the skilled services provided since start of care: Patient made excellent progress under skilled Physical Therapy (PT) services and is currently at her maximum functional potential. Therefore, the patient is discharged from skilled PT services at this time. Start of care date was 01/19/12. End of care date was 3/10/12. Review of CNA daily trackers for all shifts dated 4/15/12 through 4/21/12 revealed that staff did not use a gait belt or touch the resident during transfer, and only used verbal cues to encourage the resident to transfer. Resident # 186 was admitted to the facility in 01/2012. Review of the Minimum Data Set (MDS) Assessments revealed inaccurate information of the resident's height on each assessment completed. 01/25/12 - Admission MDS - Height: sixty-one inches (61) Weight: one hundred and nine pounds (109 lbs) 02/13/12 - Discharge Return Anticipated MDS - Height: sixty-one inches (61) Weight: one hundred and six pounds (106 lbs) 3/05/12 - Five (5) Day MDS - Height: sixty-one inches (61) Weight: one hundred and two pounds (102 lbs) 3/24/12 - Thirty (30) Day MDS - Height: sixty-three inches (63) Weight: ninety-nine pounds (99 lbs) 4/14/12 - Discharge Return Anticipated MDS - Height: sixty-one inches (61) Weight: ninety-nine pounds (99 lbs) Further review of the Minimum Data Set revealed the following inaccurate information which caused the Basal Metabolic Index (BMI) to also be inaccurate. The height (in inches) of the resident is: sixty-three (63) The Admission Weight Data for this resident was: Date: 01/18/12; Weight: 109; BMI: 19 Date: 02/01/12; Weight: 106; BMI: 19 Date: 02/08/12; Weight: 107; BMI: 19 Date: 3/12/12; Weight: 102; BMI: 18 Review of the closed medical records [REDACTED]) Interview with the Director of Nursing (DON) on 06/21/12 at 9:20 am revealed the information was not accurate for resident #186. The Certified Nursing Assistant (CNA) is responsible for obtaining height and weight on all new admissions to the facility. Record review revealed resident # 3 was admitted in 03/2012 with a history of falls. The admission assessment, dated 03/23/12 indicated the resident had fallen prior to admission. Review of the incident log indicated the resident had fallen in the nursing facility on 4/13/12, 5/28/12, and 6/15/12. The discharge assessment on 5/05/12 did not reflect that the resident had fallen since admission to the facility. 2016-11-01