cms_GA: 8206

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
8206	SAVANNAH BEACH HEALTH & REHAB	115633	26 VAN HORNE STREET	TYBEE ISLAND	GA	31328	2012-04-19	314	D	0	1	R4E311	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interview and record review the facility failed to ensure that the treatment nurse thoroughly assessed and document the findings of a pressure ulcer weekly to include date, stage, length and width, depth, drainage, odor and progress, failed to provide treatment as ordered and failed to observe proper infection control precautions for one resident (#27) during a dressing change from a sample of twenty- three residents. Findings include: Record review for resident #27 revealed that on 3/14/12 a stage III pressure ulcer to the left heel was identified. Documentation from 3/14/12 through 4/03/12 failed to include assessment and the condition of the pressure ulcer. The Treatment Record recorded treatment as being conducted every other day for the period of time from 3/23/12 through 3/31/12. Review of the physician orders, for that period of time, revealed treatments were ordered to be conducted daily. Review of the Skin Notes revealed documentation on 4/03/12 of ulcer measurements, 5 centimeters (cms) by 7.5 cms by 0.1 cms, but in the Nurses Notes the size was documented as 4 cms by 7.7 cms by 0.1 cms. Skin Notes dated 4/11/12, included documentation of the resident's left heel as having 80% eschar and 5% slough. Nurses Notes for this date documented 80% eschar and 10% slough. Observation of resident #27's treatment to the left heel pressure ulcer on 4/18/12 revealed licensed nursing staff assisting with the treatment to picked up a foam wedge off of the floor and placed it under the resident's legs. The Treatment Nurse (TN) provided the treatment as ordered, but while securing the dressing in place dropped the roll of tape on to the floor. TN picked tape up off the floor and continued to use the same roll of tape to secure the dressing. TN then placed the roll of tape back on the clean field next to the 4x4s used later to cleanse an open area on this resident's buttock. Review of the facility's policy and procedure for the treatment of [REDACTED].	2016-06-01