cms_GA: 10337

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
10337 MAGNOLIA MANOR METHODIST NSG C 115004 2001 SOUTH LEE STREET AMERICUS GA 31709 2011-03-21 282 G 1 0 S4HQ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, observation, Incident/Accident Report review, and staff interview, it was determined that the facility failed to ensure that one (1) resident (#1) received supervision and Hoyer lift transfer, as specified by the Care Plan, and failed to use floor mats as specified by the Care Plan for one (1) resident (#4), from a survey sample of six (6) residents. Resident #1 fell and sustained a [MEDICAL CONDITION] leg. Findings include: 1. Cross refer to F323, Example 1, for more information regarding Resident #1. Clinical record review for Resident #1 revealed a Care Plan entry of 02/24/2010 which identified the resident to be at risk for falls, with Approaches which included the use of a Hoyer lift for all transfers and to monitor/anticipate/intervene for factors causing falls. A Nurse's Notes entry of 02/01/2011 at 2:50 p.m. documented that the nurse observed the resident on the floor in the room after having fallen while being changed. The resident complained of right knee pain, and swelling was noted to the right knee and thigh. A Nurse's Notes entry of 02/01/2011 at 3:00 p.m. documented that the physician was notified and ordered a hospital transfer, and a Nurse's Notes entry of 02/01/2011 at 7:00 p.m. documented that the resident had been admitted to the hospital with [REDACTED]. A 02/01/2011 facility Incident/Accident Report documented that Nursing Assistant In Training "AA" had been providing incontinence care to Resident #1 at the sink and then slid the resident to the floor. The resident sustained [REDACTED]. During an interview with Nursing Assistant In Training "AA" conducted on 03/02/2011 at 4:10 p.m., the nursing assistant stated she had been working by herself when providing care to Resident #1. In a written statement provided by the Director of Nursing (DON), the DON documented that Resident #1 had been transferred by Nursing Assistant "AA" without the use of a mechanical lift (as specified in the Care Plan), and that additional certified nursing assistant staff had failed to aid and assist Nursing Assistant in Training "AA" while transferring and providing incontinence care to Resident #1 (to ensure the appropriate monitoring and intervention for factors causing falls, per the Care Plan). Based on the above, the facility failed to ensure that staff monitored and provided the necessary intervention, per the Care Plan, to Resident #1 to minimize the fall potential while receiving care, and failed ensure that the resident was transferred with the use of a Hoyer lift, as specified by the Care Plan. 2. Cross refer to F323, Example 2, for more information regarding Resident #4. Record review for Resident #4 revealed a 05/19/2010 Care Plan entry which specified the use of soft floor mats for fall precautions. Observations on 03/21/2011 at 3:12 p.m. and 3:35 p.m. revealed no floor mats on either side of the resident's bed. 2014-07-01