cms_GA: 10448

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

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rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
10448	PRESBYTERIAN HOME, QUITMAN, IN	115498	1901 WEST SCREVEN STREET	QUITMAN	GA	31643	2009-06-03	323	G	1	0	1V5Y11	Based on record review, staff interview, and hospital document review, it was determined that the facility failed to ensure that adequate supervision was provided to prevent injury during a chair-to-bed transfer for one (1) resident (#1) from a survey sample of five (5) residents. This failure resulted in harm by causing a large laceration on the right lower leg of Resident #1. Findings include: Record review for Resident #1 revealed that a new intervention had been added to his/her plan of care to prevent falls on 03/05/2009. This intervention specified for the resident to be transferred with the assistance of two persons. According to the 05/21/2009, 1:45 p.m. nursing notes, the resident was being assisted to bed from the wheelchair by only one (1) certified nursing assistant (CNA). During the transfer, the resident exhibited agitation as he/she was being transferred to the bed from the wheelchair. When the resident had been put to bed, the CNA noted blood on the resident's right pant's leg and immediately reported this to the charge nurse. The charge nurse went to check the resident's right lower leg and found a large laceration to the back of the right leg. The nurse documented that the laceration extended from the mid-calf of the outer leg down to the ankle area. The Unit Manager for this unit and the Director of Nursing (DON) were immediately notified of the area of laceration on the resident's right lower leg. The wound was cleaned with normal saline, and Steri-Strips and a pressure bandage were applied. Documentation indicated that the physician and the family were immediately notified, and that the resident was immediately transferred to the hospital for repair of the laceration. Hospital documentation indicated that the hospital physician described the wounded area as a 30 centimeter (cm.) to 35 cm. curved laceration, down to the fascia. During interviews with the DON and Administrator conducted on 06/02/2009 at 4:30 p.m., these staff members both acknowledged that the above incident had occurred on 05/21/2009, and that their investigation of the incident had revealed that the laceration on the resident's right lower leg had occurred during the transfer. They also acknowledged that the CNA involved in this incident had failed to use a two-person transfer per the resident's plan of care, thus resulting in the large laceration on the back of the resident's right leg.	2014-07-01