cms_GA: 8184

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
8184 GRACEMORE NURSING AND REHAB 115554 2708 LEE STREET BRUNSWICK GA 31520 2012-07-26 309 D 0 1 K1RN11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, it was determined that the facility failed to ensure that the correct amount of sliding scale insulin was given as ordered for three times in the month of July 2012 for one resident (#41) in a total sample of 25 residents. Findings include: Resident # 41 had a [DIAGNOSES REDACTED]. There was a 6/17/12 physician's orders [REDACTED]. The physician's orders [REDACTED]. The physician's orders [REDACTED]. Review of the Medication Administration Record [REDACTED]. On 6/19/12, the physician increased the sliding scale coverage to fifteen (15) units of [MEDICATION NAME] regular insulin for blood sugar levels over 400. On 6/24/12, the physician ordered that the [MEDICATION NAME] regular insulin dose be increased to twenty (20) units for blood sugar levels over 400. Review of the MAR for July 2012 revealed that the resident had blood sugar levels over 400 on 7/3, 7/6 and 7/14/12. However, the licensed nurse only gave 10 units of [MEDICATION NAME] regular insulin to the resident instead of the 20 units that had been ordered by the physician on 6/24/12. The physician's orders [REDACTED]. In an interview on 7/25/12 at 3:45 p.m., the Director of Nursing and the Clinical Care Coordinator AA confirmed that AA had not changed the resident's MAR (to reflect the most current physician's orders [REDACTED]. Therefore, licensed nursing staff failed to give regular [MEDICATION NAME]as ordered when the resident had blood sugar levels over 400 on 7/3, 7/6 and 7/14/12. 2016-06-01