cms_GA: 8140

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
8140 PLACE AT MARTINEZ, THE 115308 409 PLEASANT HOME ROAD AUGUSTA GA 30907 2011-12-01 312 D 0 1 HMWR11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and staff interview, the facility failed to provide nail care for one (1) resident (#37), who needed extensive assistance with personal hygiene. The sample size was twenty-four (24) residents. Findings include: On 11/29/11 at 9:24 a.m. and 1:10 p.m., and 11/30/11 at 7:50 a.m., resident #37 was noted to have untrimmed nails on both hands, extending approximately 1/4 inch past the tips of their fingers. There was a dark material under and around all of the nails. The left hand was contracted, and the fingernail of left fourth (ring) finger was especially long and uneven and pressed into the palm of the hand. Review of the resident's Minimum Data Set ((MDS) dated [DATE] noted that the resident required extensive assistance with personal hygiene. A care plan was developed on 11/22/11 for self care deficit as evidenced by the inability to perform activities of daily living (ADL) independently. Interventions included to do nail care weekly. On 11/30/11 at 8:05 a.m., Certified Nursing Assistant (CNA) 'AA' stated that nails were cut on shower days, either by Restorative staff or the CNA. At 8:10 a.m., Licensed Practical Nurse (LPN) 'BB' verified that the resident's fingernails on both hands were long, that the fourth finger fingernail of the left hand was pressing into the resident's palm, and that the fingernails had dark material under and around the nails. She stated that the CNAs documented nail care in the ADL book kept at the nurses station, and that nail care was done on shower days. Review of resident #37's Nursing Care (ADL) Sheet for November revealed that nail care with bath was documented as being done on 11/16/11; 11/21/11; 11/25/11; and 11/28/11. Nail care was not documented as being done in September or October. On 11/30/11 at 10:50 a.m., the Director of Nurses stated that nail care should be done with the bath, and as needed. 2016-06-01