cms_GA: 8197

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
8197 PRUITTHEALTH - SYLVESTER 115629 104 MONK STREET SYLVESTER GA 31791 2012-01-26 282 D 0 1 O3X711 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record review, and staff interview, it was determined that the facility failed to implement the plan of care for one resident (#47) who was at high risk for developing pressure ulcers and to administer pain medication as ordered for one resident (#2) from a total sample of 33 residents. Findings include: 1. Resident #47 was assessed and coded by the facility on the 1/6/12 quarterly Minimum Data Set assessment as at risk for pressure sores and as having a history of pressure sores. The resident had a care plan since 1/11/12 with interventions for nursing staff to apply heel protectors and to float his/her heels as needed, to turn and reposition him/her every two hours and, for a pressure relieving mattress to be on the resident's bed. However, it was observed that the resident remained positioned in the bed positioned on his/her right side and laying on a deflated air mattress on 1/24/12 at 8:15 a.m., 9:05 a.m., 10:20 a.m. and at 11:15 a.m. There were not any pressure relieving device between the resident's knees or feet. Also during those observations, the resident was not wearing any heel protectors and his/her heels were not floated as instructed in the plan of care. Additional observations were made of the resident laying in the bed on a deflated air mattress with his/her heels resting directly on the mattress without wearing any heel protectors on 1/23/12 at 2:45 p.m. and 4:00 p.m., 1/25/12 at 10:00 a.m. and 10:30 p.m. and on 1/26/12 at 9:00 a.m. and 11:20 a.m. During an observation and interview with licensed staff AA on 1/26/12 at 11:20 a.m., he/she confirmed that the air mattress was deflated because it was unplugged from the wall. He/she also stated that the mattress that was underneath the air overlay was not a pressure relieving mattress. See F314 for additional information regarding resident #47. 2. Resident #2 had a care plan since 8/17/11 to address his/her risk for pain and discomfort related to peripheral [MEDICAL CONDITIONS] and joint contractures. There was an intervention for licensed nursing staff to medicate him/her as ordered. The resident had a physician's orders [REDACTED].#3 three times a day. However, review of the nursing staff's documentation on the resident's January 2012 Medication Administration Record [REDACTED]. See F309 for additional information regarding resident #2. 2016-06-01