cms_GA: 10

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
10 MAGNOLIA MANOR METHODIST NSG C 115004 2001 SOUTH LEE STREET AMERICUS GA 31709 2019-01-25 657 D 0 1 4HRK11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff interview, and review of the facility policy titled Comprehensive Person -Centered, the facility failed to update and revise a comprehensive care plan to reflect the vascular site and monitoring of the site for one resident out of five sampled residents (R#133) receiving [MEDICAL TREATMENT] services. Findings include: Record review of policy titled Care Plans Comprehensive Person-Centered stated It is the intent of Magnolia Manor facilities to develop and implement a person-centered plan of care for each resident that include goals for admission, discharge and desired outcomes. 3. (B) Incorporate risk factors (s) associated with the identified problems(s). (D) reflect treatment goals and objectives in measurable goals. B. Reflect the resident's specified goals for admission and desired outcomes. B. Reflect the resident's specified goals for admission and desired outcomes. F. Enhance the optimal functioning of the resident utilizing rehabilitative program as indicated. (5). Care plan are revised as changes in the resident's condition dictates. Reviews are made at least quarterly. The resident has the right to participate in the process and to approve any changes to the plan of care. Record review revealed that R#133 had a Physician order dated 8/20/18 for an AV Fistula (ateriovenous fistula) shunt and attended [MEDICAL TREATMENT] two days a week on Monday and Friday. The Minimum Data Set ((MDS) dated [DATE] section C revealed a Brief Interview Mental Status (BIMS) score of 15 (a score of 15 out of 15 indicates cognitive intact) and a section O revealed a coding for [MEDICAL TREATMENT]. Review of [MEDICAL TREATMENT] care plan dated 10/16/18 (last reviewed on 1/2/19) revealed that there was not any interventions in place to monitor the vascular site or checking the site for bruit and thrill. Interview on 1/24/19 at 3:24 a.m., with the Director of Nursing (DON) revealed that staff should check every shift for bruit and thrill and observe for any infections at the site. She further stated the [MEDICAL TREATMENT] care plan should reflect how often to check and monitor the site. Interview on 1/25/19 at 1:09 p.m., Register Nurse (RN) DD revealed that she was not aware that the [MEDICAL TREATMENT] care plan did not provide interventions about monitoring of the AV shunt site. She further stated that the [MEDICAL TREATMENT] care plan was updated on today 1/25/19 (after the concern was identified during the survey). Interview on 1/25/19 at 1:15 p.m., with the Minimum Data Set (MDS) Coordinator revealed that the [MEDICAL TREATMENT] care plan should be specific to resident care needs. She confirmed that the [MEDICAL TREATMENT] care plan was not revised until 1/25/19 to address monitoring of the AV site. 2020-09-01