cms_GA: 8545

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.

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
8545 ABBEVILLE HEALTHCARE & REHAB 115623 206 MAIN STREET EAST ABBEVILLE GA 31001 2011-11-10 280 D 0 1 1JXD11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview and record review, it was determined that the facility failed to continue to implement planned interventions to address the positioning needs of one resident (#63) and failed to revise interventions to address continued falls for one resident (#38) in a total sample of 28 residents. Findings include: 1. On the 5/27/11 Minimum Data Set (MDS) assessment, licensed staff coded resident # 63 as having limitaton with range of motion to one side of his/her upper extremity. On the 9/1/11 MDS assessment, the resident was coded with a decline in the limited range of motion to include both of his/her upper extremities. There was a care plan since 8/28/10 to address his/her risk for injury from falls due to limited mobility, havig been bed to gerichair bound and having [MEDICAL CONDITION] and a [MEDICAL CONDITION] disorder. The interventions included having the call light close (to the resident) and for staff to promptly answer it, staff providing all activities of daily living, for staff to transfer the resident with the hoya lift, and staff to monitor the resident for positioning for possible injury. A new intervention was added on 8/22/11 for the resident to be screened by occupational therapy services for an evaluation if indicated. However, although the resident was observed to lean to the left in his/her geri-chair, there was no evidence that the resident was provided any restorative therapy services after his/her hospital return in July 2011 or was evaluated by the occupational therapist for further skilled therapy. See F 311 for additional information regarding resident # 63. 2. Resident #38 had a care plan and physician's orders [REDACTED]. There was an intervention for physical therapy skilled services to be provided for the resident three times a week for two weeks for therapeutic exercises therapeutic activities, gait-training, and neuromuscular re-education. However, there was no evidence that the physical therapist had evaluated and treated the resident. See F323 for additional information regarding resident #38. 2016-01-01