cms_GA: 8010

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
8010 PINE KNOLL NURSING & REHAB CTR 115443 156 PINE KNOLL DRIVE CARROLLTON GA 30117 2012-03-22 157 D 0 1 VN4P11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on staff interviews, record review, and review of the facility policy, the facility failed to notify the physician of one (1) resident (#5) that the resident refused insulin from a sample of thirty one (31) residents. Findings include: Review on the March Medication Administration Sheet (MAR) for resident # 5 indicated that the resident was not given insulin her 9:00pm [MEDICATION NAME] on March 19, 20, and 21, 2012. Review of the Nurses Notes revealed the last entry was dated 3/19/2012 but there was no entry of physician being notified that the resident did not receive the night time dosage of insulin for March 19, 20 and 21, 2012. Record review revealed a physician's order for [MEDICATION NAME] 75 units subq at bedtime. The resident also had physician's orders for accuchecks before meals and at bedtime with sliding scale coverage. Review of the 9:00 pm blood glucose report revealed the following: 3/19/2012 blood glucose level was 226 mg/dl 3/20/2012 blood glucose level was 195 mg/dl 3/ 2 blood glucose level was 325 mg/dl Review of the MAR indicated [REDACTED]. Interview on 3/22/12 at 9:24 am with the Unit Manager BB revealed that the insulin that was given was for the sliding scale. BB also revealed that the Medical Doctor (MD) should have been notified that the resident did not receive any insulin on these three (3) different dates. BB also revealed that there was no evidence of a physician order or a nurses notes revealing that the physician was notified. BB further revealed that nurses have been trained to notify the physician if a resident refuses their insulin and to document this information. Interview on 3/22/12 at 9:32 am with Staff Development CC revealed the staff is suppose to notify the physician and document if the insulin is not given . CC also revealed that the Communication Physician Sheet should have been completed and she did not see one in the chart/medical record. Review of the Nurse Physician Communication Sheet dated 3/20/12 had no evidence that the physician was notified. Review of the facility policy, Rules for Documentation Medication Administration Record, indicated that if the medication cannot be given or a resident refuses a medication, the staff should initial the appropriate box, circle initials, provide an explanation on the back of the MAR, and notify the appropriate person as outlined in the facility policy & procedures. 2016-07-01