cms_GA: 10305

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
10305 RIDGEWOOD MANOR HEALTH AND REHABILITATION 115341 1110 BURLEYSON DRIVE DALTON GA 30720 2011-04-26 155 D 1 0 8IM012 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, staff interview, and facility policy review, the facility failed to ensure timely implementation of the advance directive, regarding the Do-Not-Resuscitate (DNR) status, for one (1) resident (#1) in a survey sample of five (5) residents. Findings include: Record review for Resident #1 revealed a Patient Information Summary sheet which documented that the resident was admitted to the facility on [DATE]. Further record review revealed no evidence to indicate that the resident's responsible party was either the Durable Power of Attorney for Healthcare or Guardian. Review of the resident's Do Not Resuscitate Order For Patient Without Decision Making Capacity form revealed that the form documented the resident was to be of Do-Not-Resuscitate status. This form was signed and dated both by a physician and the resident's responsible party on 06/10/2011, but was not signed by the concurring physician until 06/13/2011, three (3) days after the resident's admission to the facility. The facility's Best Practice for DNR Orders policy related to the DNR process specified that for a resident who did not have capacity or a Durable Power of Attorney for Healthcare, there had to be two (2) physician signatures for the document to be legal, and that the facility's Social Service Department was responsible for obtaining the required information and signatures within twenty-four (24) hours of admission. During an interview with the Director of Nursing (DON) conducted at 9:10 a.m. on 06/14/2011, the DON acknowledged that the Social Service Director was responsible for obtaining the required physician's signatures within twenty-four (24) hours of admission to the facility. During an interview with the Social Service Director conducted on 06/14/2011 at 1:40 p.m., this staff member acknowledged that the second physician's signature was not obtained until 06/13/2011, and that the resident was considered to be a full-code until the second physician's signature was obtained. 2014-08-01