cms_GA: 8128

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
8128 GOLDEN LIVINGCENTER - DECATUR 115012 2787 NORTH DECATUR ROAD DECATUR GA 30033 2013-06-20 309 D 1 0 SZIY11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, facility record review, and resident and staff interviews, the facility failed to ensure that one (1) resident (A), of six (6) sampled residents, received medications and necessary supplies prior to a leave of absence from the facility. Findings include: Review of the progress notes dated Friday, 04/12/13 at 3:30 PM indicated Resident A left the facility with family and returned to the facility on Sunday 04/14/13 at 10:48 PM. During an interview on 04/29/13 at 4:15 PM, Resident A stated that when she went out of town with her family for a funeral, the nurses forgot to give her all of her medications. The resident said that her family had to call the facility and get the doctor to call in orders to a pharmacy so that she would have all of her medications. Review of the Medication Administration Record [REDACTED] - [MEDICATION NAME] Regular (100 unit/ milliliter (ml)) Injection Dose: 100 units/ml Order date 4/6/13. Before meals and at bedtime. Call MD if results 400 give insulin per blood sugar results. 201-250=4u 251-300= 6u 301-350= 8u 351-400= 10u. - [MEDICATION NAME] (polyethylene [MEDICATION NAME]) 17grams by mouth daily. Order dated 3/17/13 - [MEDICATION NAME] Sodium 20mg by mouth at bedtime. Order dated 3/2/13 - Famoditine 20 mgs two times daily. Order dated 3/2/13 Medications that were to be given as needed included: [MEDICATION NAME] -Sublingual dose 0.4mg for chest pain give 3 doses 5 minutes apart. For unrelieved chest pain call MD when giving 3rd dose and prepare to send patient to the ER. During a staff interview on 04/29/13 at 4:30 PM the Administrator, the Director of Nurses (DON) and the Assistant Director of Nurses (ADON) acknowledged that Resident A did not get all of her medications to take on leave of absence. They agreed that the nurse should have checked the medication record and the physician orders [REDACTED]. During an interview on 06/20/13 at 4:45 pm the ADON stated that she called the attending physician on 04/13/13 at approximately 4:30 AM and notified him that they needed an order phoned into a pharmacy out-of-state because Resident A did not get all of her medications before she left the facility. She stated the doctor called the pharmacy with orders for the resident to get her medications that were omitted by the facility staff nurse. Review of Central Patient Profile record of the out-of-state pharmacy provided to the facility via fax revealed that Resident A had prescriptions filled on 04/13/13 for: 1. [MEDICATION NAME] Sodium 20 mg, 2. [MEDICATION NAME]R 100 unit/ml, 3. [MEDICATION NAME] 0.4 mg, 4. Polyeth [MEDICATION NAME] 3350, 5. [MEDICATION NAME] 20 mg. 2016-06-01