cms_GA: 8133

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
8133 GOLDEN LIVINGCENTER - DUNWOODY 115270 5470 MERIDIAN MARK ROAD, BLDG E ATLANTA GA 30342 2012-03-08 332 E 0 1 7H8C11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations conducted during the medication pass and staff interviews, it was determined that the facility failed to ensure that it was free of a medication error rate of five (5) percent or greater. Findings include: Observations of medication pass were conducted on 3/6/12 from 8:40am thru 9:53am. Observations were made of three (3) nurses administering medications on three (3) of three (3) floors, four (4) medication errors were observed out of sixty six (66) opportunities. This resulted in a medication error rate of 6.06 percent. 1. Resident #496 was given [MEDICATION NAME] five (5) milligrams (mg). Review of physician's orders [REDACTED]. 2. Resident #423 was administered [MEDICATION NAME] capsule via inhalation. Registered Nurse BB placed the capsule into the container, punctured the capsule and laid it down on the medication cart. BB continued to prepare other medications for the resident. All medications were collected to go into the resident's room. The [MEDICATION NAME] container was waved around, laid on the bedside table, then wiped with a Kleenex, and than placed at the resident's mouth to inhale. BB also administered [MEDICATION NAME] one (1) gram by mouth to this resident. Instructions on the blister pack indicated that the medication was to be taken on an empty stomach, one (1) hour before or two (2) to three (3) hours after a meal and at least one (1) hour before, or one (1) hour after antacids, iron, or vitamins/minerals. The resident was given vitamins and [MEDICATION NAME] at the same time as the [MEDICATION NAME]. Interview with the Registered Nurse BB on 3/6/12 at 9:00am revealed he did not realize not to puncture the [MEDICATION NAME] capsule until ready to place in the resident's mouth for inhalation, because the powder was so fine it would escape the capsule with any unusual movement. He did not see the directions on the blister pack for the [MEDICATION NAME]. 3. Resident #443 was administered [MEDICATION NAME] one (1) gram by mouth. Instructions on the blister pack indicated that the medication was to be taken on an empty stomach, one (1) hour before or two (2) to three (3) hours after a meal and at least one (1) hour before, or one (1) hour after antacids, iron, or vitamins/minerals. Interview with the Pharmacist conducted 3/6/12 at 10:00am revealed that [MEDICATION NAME] should not be taken with any medication, because it retards absorption of other medications, after the stomach is coated. 2016-06-01