cms_GA: 8549

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
8549 ABBEVILLE HEALTHCARE & REHAB 115623 206 MAIN STREET EAST ABBEVILLE GA 31001 2011-11-10 323 D 0 1 1JXD11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and staff interview, it was determined that the facility failed to provide interventions to prevent falls for one resident (# 38) from a sample of 28 residents and to secure razors in one common shower room (100 hall) of three common shower rooms in the facility. Findings include: 1. Review of the medical record for resident #38 revealed staff documentation about the resident having fallen but not been injured on 08/12/11, 08/29/11, 09/11/11, 09/12/11, 09/12/11, 10/04/11, 10/19/11 10/23/11, and 11/09/11. The facility developed and implemented interventions to prevent falls. Record review revealed that the resident had been provided skilled physical therapy services from 9/01/11 to 9/09/11 to reduce the likelihood of falls then, a referral had been made for restorative nursing services for maintaining skill in ambulation and strength in both legs. Staff's documentation revealed that the resident was provided range of motion exercises as ordered from 09/10/11 through 11/10/11. However, the resident continued to fall with the last fall documented as happening on 11/09/11. The physician wrote an order on 10/24/11 for physical therapy staff to evaluate and treat the resident as indicated. The order was for the resident to be seen by a skilled physical therapist three times a week for two weeks for skilled physical therapy services. However, there was no evidence that those services had been provided. During an interview on 11/10/11 at 10:45 a.m., occupational therapist CC could not locate evidence that a physical therapy evaluation had been done despite the order for it or that those skilled services had been provided. During an interview on 11/10/11 at 11:00 a.m., the Restorative Nursing Services registered nurse (RN) AA and certified nursing assistant, (CNA) BB said that nursing staff was not aware of any physical therapy services but, were providing restorative nursing services. During an interview on 11/10/11 at 11:18 a.m., the Director of Nursing (DON) stated than an evaluation would have been done to obtain the frequency and specifics of the physician's orders [REDACTED]. However during an interview on 11/10/11 at 11:45 a.m., physical therapist EE explained that the resident had refused to use a merry walker but, he had not written a plan or any notes and, was going to discharge the resident from skilled therapy. However, there was no evidence that any physical therapy evaluation or services had been provided or about the resident's refusal of those services. 2. During the initial tour on 11/7/11 at 11:30 a.m., there were 14 disposable razors in an unlocked cabinet in the 100 hall common shower room. During a random observation on 11/10/11 at 11:05 a.m., there were eight (8) disposable razors in an unlocked cabinet in that common shower room. 2016-01-01