cms_GA: 8148

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

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
8148 BOLINGREEN HEALTH AND REHABILITATION 115346 529 BOLINGREEN DRIVE MACON GA 31210 2011-12-22 309 D 0 1 BW4W11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to follow physician orders [REDACTED].#11) from a sample of thirty-seven (37) residents. Findings include: Review of the interdisciplinary progress note dated 12/16/11 revealed resident #11 was found lying on her back, on 12/15/11 at 3:15 p.m., on the floor beside her bed. An assessment was completed and no injuries were noted. However,the Physician Assistant (PA) was in the facility, notified, and assessed the resident. Neurochecks were ordered to be done per protocol for three (3) days. Review of the neurocheck worksheet revealed that neuro checks were to be done every fifteen (15) minutes for the first hour, every thirty (30) minutes for the second hour, every hour for six (6) hours, every four (4) hours for twenty-four (24) hours and then every shift up to seventy two (72) hours. Continued review revealed that after the first hour a summary should be written in the Inter Disciplinary Team (IDT) notes of the findings during neuro checks and also at the end of each shift. Review of the neurocheck worksheet for resident #11 dated 12/15/11 revealed that after the second hour, there was no evidence that the neurochecks were completed as ordered. The level of consciousness (LOC), pupils equal, round, reactive to light and accommodation (PERRLA) and hand grip were not summarized in the IDT notes, only that neurochecks were in progress or neurochecks x twenty four (24) hours on 12/16/11. Review of the IDT notes for 12/17/11 revealed no evidence of neurochecks being done. Interview with the Director of Nursing (DON) and Nurse Consultant BB on 12/21/11 at 11:15 a.m., revealed that that there was no evidence that the neurochecks were completed as ordered. Continued interview revealed that the neuro check sheet was only a worksheet and she expected the nurses to write a summary in the interdisciplinary progress notes for the seventy-two (72) hours that the neurochecks were ordered. 2016-06-01