cms_GA: 8130

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
8130 MITCHELL COUNTY NURSING HOMES 115266 37 SOUTH ELLIS STREET CAMILLA GA 31730 2012-03-01 312 D 0 1 VJP011 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation , record review, and staff interview, it was determined that the facility failed to provide nail care as planned for one resident (#6) in a total sample of 38 residents. Findings include: Unit II Resident #6 was coded on the 01/27/12 Minimum Data Set (MDS) assessment as needing. total assistance of one person for personal hygiene and care. There was a care plan intervention since 05/19/11 to the certified nursing assistants (CNAs) to ensure that all of the resident's nails were trimmed and cleaned as needed. There was also an intervention that a nurse would provide nail care. However, it was observed on 2/27/12 at 3:23 p.m., on 2/29/12 at 7:51 a.m. and 4:11 p.m., and on 3/01/12 at 8:30 a.m. that the resident's fingernails had not been trimmed or cleaned as needed. His/Her fingernails were long and had dirt underneath them. During an interview on 2/29/12 at 1:55 p.m., licensed charge nurse BB stated that she did not do the residents' nails. She said that the CNA was responsible for providing nail care to the resident. In an interview on 2/29/12 at 2:18 p.m., CNA AA said that she had not provided nail care for resident #6 for two (2) months because, the nurse did it. During an interview on 2/29/12 at 4:11 p.m., LPN CC initially said that the CNAs did nail care but then said that the podiatrist did it because the resident was a diabetic. However, the Director of Nursing provided the facility's policy on nail care which was that nail care included daily cleaning and regular trimming. It included that, unless it was otherwise permitted, staff were not supposed to trim the nails of diabetic residents or residents with circulatory impairments. There was documentation in resident #6's medical record that his/her [DIAGNOSES REDACTED]. The computerized version of the CNA flow sheet for resident #6's care indicated in bold red letters the care plan alert that all of his/her nails were (to be) trimmed and cleaned as needed in the morning, afternoon and night. However, documentation from the nail care in-service on 03/30/11 revealed that if the resident was a diabetic then issues were supposed to be reported to the nurse and it was the nurse's responsibility to delegate who would trim a residents' fingernails. Although the care plan and interviews revealed that it was unclear about which nursing staff person was responsible for providing nail care for resident #6, it was observed that it had not been provided as needed. 2016-06-01