cms_GA: 9757

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
9757 RIVER TOWNE CENTER 115566 5131 WARM SPRINGS RD COLUMBUS GA 31909 2012-10-04 312 D 0 1 506W11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record reviews, and interviews with residents and staff, it was determined that the facility had failed to provide nail care for two residents ("C" and "D") in a sample of 40 residents. Findings include: 1. It was observed on 10/1/12 at 11:15 a.m. that all 10 of resident "C's fingernails extended about a quarter (1/4) of an inch beyond the finger tip. The resident had [DIAGNOSES REDACTED]. Licensed staff had coded the resident as needing extensive assistance with grooming on the 2/22/12 Minimum Data Set (MDS) assessment. The resident was unable to independently do his/her own nail care because of left sided [MEDICAL CONDITION]. In an interview on 10/01/12 at 11:17 a.m., resident "C" said that in the past two months he/she had asked staff members to trim his/her fingernails. Resident "C" said that he/she was unable to provide nail care for his/herself. During an interview on 10/04/12 at 12:04 p.m., the Assistant Director of Nursing Services (ADNS) stated that nail care which included trimming the nails was supposed to be done by certified nursing assistants (CNAs) as part of a resident's routine care. The ADNS said that following the daily assessment of the resident, the CNA assigned to the resident was expected to do nail care as needed. During an interview on 10/04/12 at 12:40 p.m., certified occupational therapy assistant "OO" stated that nursing staff was supposed to do nail care for resident "C" as a required as part of daily personal hygiene care. There were instructions documented on the "Resident Functional Performance Record" that nail care for resident "C" was to be completed as needed during hygiene care on the 7a.m to 3 p.m. shift. There was a care plan problem about the resident's self-care deficits which included an intervention for (nursing) staff's assistance with all activities of daily living. 2. Resident "D" was observed on initial tour 10/01/12 at 1:59 p.m. to have had long (1/4 inch), untrimmed fingernails. The resident's hands were contracted. The fingernails on his/her right hand pressed into his/her palm. At that time, resident "D" said that he/she had asked staff to trim his/her nails because, they had gotten long. During an interview on 10/3/12 at 9:45am, the licensed practical Nurse (LPN) "AA" , who was identified as the MDS Coordinator, said that the resident had a care plan in place for activities of daily living (ADLs) which included grooming. There was a care plan since 5/14/12 to address the resident's self-care deficit in bathing, dressing and grooming related to his/her physical limitations. 2015-05-01