cms_GA: 8095

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
8095 COOK SENIOR LIVING CENTER 115655 706 NORTH PARRISH AVE . ADEL GA 31620 2013-08-15 318 D 0 1 FB2I11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and staff interview the facility failed to provide passive range of motion and failed to apply knee and hand splints as ordered by the physician and as outlined in the plan of care for one (1) resident (#40) of 33 residents. Findings include: Review of the clinical record for Resident #40 revealed that he had a current physician's orders [REDACTED]. Record review of the resident's Quarterly Minimum Data Set (MDS) of 7/12/13 revealed impaired function of range in motion of both upper and lower extremities on one side. The resident is assessed as receiving restorative nursing care for both passive and active range of motion seven (7) days per week with no splint assistance. Review of the resident's care plan dated 2/22/13 for impaired mobility and right sided weakness with the following interventions: active assist range of motion (ROM) left upper and left lower extremities daily as tolerated, passive range of motion right upper and lower extremities daily as tolerated, knee splint to be worn three hours on the right knee and then three hours on the left knee daily as tolerated. Place pillow between legs if wearing splint in bed, perform range of motion prior to applying knee splint. Review of the splint instructions dated 1/21/12, signed by the Physical Therapist, for the knee splint revealed the resident to wear the knee splint on the right knee for three (3) hours then on the left knee for three (3) hours. The instructions include special instructions to place a pillow between the resident's legs if wearing the knee splint while in bed and that the resident should receive range of motion prior to splinting. Instructions for use of the hand splint were not available. Review of the restorative nursing care documentation record revealed the resident was to receive active ROM to the upper and lower left and right extremities daily as tolerated and was signed as done daily. The document revealed the resident is to wear the knee splint three (3) hours on the right knee and three (3) hours on the left knee daily as tolerated. Place pillow between legs if wearing splint in bed. Perform ROM prior to applying knee splint. There are no instructions on the Restorative nursing care documentation for the positioning right hand splint. The resident was observed in the bed on 8/13/13 at 2:30 p.m. and 4:00 p.m., on 8/14/13 at 8:30 a.m., 12:00 p.m. and 5:15 p.m. and on 8/15/13 at 8:35 am, and 11:00 a.m. with no splints on the resident's knees or right hand. During an observation of restorative nursing care on 8/15/13 at 12:40 p.m., the restorative aide failed to provide range of motion to the right knee before applying the knee splint. The aide also failed to provide range of motion to the right hand and arm prior to applying the hand splint and there was no range of motion done to the left upper and lower extremities as outlined in the plan of care. An interview with Certified Nursing Assistant (CNA) AA on 8/15/13 at 12:40 p.m. revealed that she that if the resident was in the bed, then the knee splints were not applied and revealed that the splints were only applied if the resident was up in the chair. An interview with the Director of Nursing on 8/15/13 at 2:35 p.m. revealed that she was unsure of the origin of the splint instructions for this resident. 2016-07-01