cms_GA: 8163

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
8163	PRUITTHEALTH - ATHENS HERITAGE	115509	960 HAWTHORNE AVENUE	ATHENS	GA	30606	2012-01-05	329	D	0	1	LHZ211	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff and pharmacist interviews, the facility failed to consistently monitor serum [MEDICATION NAME] levels to ensure the medication was within therapeutic levels for one (1) resident (#69), and failed to ensure that there was an indication for the medication [MEDICATION NAME] for one (1) resident (#27). The sample size was twenty-eight (28) residents. Findings include: 1. Review of resident #69's medical record revealed diagnosed including: [DIAGNOSES REDACTED]. On 11/29/11, a physician's orders [REDACTED]. A physician's orders [REDACTED]. In addition, a serum creatinine level (to monitor for changes in kidney status) and [MEDICATION NAME] trough level was ordered to be done before the morning dose of [MEDICATION NAME] on 12/27/11. The serum creatinine was done as ordered, but no [MEDICATION NAME] trough level was found. The resident continued to receive the [MEDICATION NAME] until it was discontinued on 01/03/12. On 01/04/12 at 4:10 p.m., the Assistant Director of Health Services (ADHS) DD verified that there was no [MEDICATION NAME] trough level on the chart for 12/27/11. She stated that [MEDICATION NAME] troughs were drawn prior to the morning dose of the antibiotic, and the results were obtained and reported to the Pharmacy prior to giving the next dose of [MEDICATION NAME]. The Pharmacy then gave the orders on dosing and subsequent monitoring labs. On 01/05/12 at 8:40 a.m., the Administrator stated that the facility had ordered the serum creatinine and [MEDICATION NAME] level for 12/27/11, but only the serum creatinine was done. She added that the Pharmacy had identified that there was no [MEDICATION NAME] levels since 12/23/11, and on 01/02/12 they ordered a [MEDICATION NAME] trough level be done prior to that evening's dose. She stated that the facility did not discover this order until the morning of 01/03/12, and the lab was not ordered to be done until 01/04/12. The [MEDICATION NAME] trough level at that time was 24.8 micrograms per milliliter (mcg/mL). She added that it was the Unit Manager's responsibility to ensure that labs were done, and the [MEDICATION NAME] level ordered for 12/27/11 must have been overlooked. On 01/05/12 at 10:30 a.m., the facility's Pharmacist JJ stated that they usually used 15-20 mcg/mL as a reference range for [MEDICATION NAME] trough levels. He added that osteo[DIAGNOSES REDACTED] was very difficult to treat, and it was better to treat it aggressively rather than have trough levels below the desired range. 2. Resident # 27 was admitted with orders to change [MEDICATION NAME] to [MEDICATION NAME] 150 milligrams (mg) twice per day. Record review revealed the resident had the multiple Diagnosis: [REDACTED]. No [DIAGNOSES REDACTED]. An interview on 1/5/12 at 9:55 a.m. with Registered Nurse (RN) Consultant II revealed that after reviewing the record no [DIAGNOSES REDACTED]. An interview on 1/5/12 at 10:00 a.m. with the Administrator revealed a pharmacy review on 12/30/11 which found there was no [DIAGNOSES REDACTED].	2016-06-01