cms_GA: 10534

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
10534 HARALSON NSG & REHAB CENTER 115431 315 FIELD STREET BREMEN GA 30110 2009-08-26 279 D     FH9411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and staff and resident interview the facility failed to develop a comprehensive care plan related to long-term symptoms affecting daily care for two (2) residents, ("A" and "B") of a sample of twenty-four (24) residents. Findings include: 1. During the initial tour conducted on 8/24/09 beginning at 11:00 a.m. the Unit Manager stated Resident "A" had difficulty swallowing and was going to have a procedure performed to stretch her esophagus. The Unit Manager further stated this difficulty had been a long term problem for the resident, but she had declined the procedure in the past. The resident, who was assessed as cognitively intact on the Minimum Data Set ((MDS) dated [DATE], stated she had difficulty swallowing, could only take small bites of food at a time, needed to have her throat stretched, and could not eat some foods during interviews on 8/24/09 at 1:05 p.m., 8/25/09 at 8:05 a.m. and 12:50 p.m. and 5:50 p.m. and again on 8/26/09 at 7:50 a.m. These conversations took place during meals in the main dining room. Each time the resident explained her difficulty and either was eating very little or asking for alternates. The Dietary Manager was interviewed on 8/26/09 at 11:00 a.m. and stated she was aware of the resident's problem with swallowing. She further stated, the resident's weight had been stable over the past year and that the resident would ask for foods that she could comfortably eat and that she frequently asked for alternates. Review of the Comprehensive Care Plan for the resident did not reveal any problem related to eating patterns or difficulty swallowing. The Care Plan Coordinator was interviewed on 8/26/09 at 9:05 a.m. She acknowledged she had not included this problem. 2. Record review for resident "B" revealed a current physician's orders [REDACTED]. According to the Medication Administration Record [MEDICATION ADMINISTRATION RECORD DETAILS REDACTED]. Review of resident's care plan did not identify a problem with itching that would require medication to be taken on a regular basis at night. Review of the pharmacist's monthly medication reviews did not reveal any indication of the use of the medication. In an interview on 8/26/09 at 9:00 a.m., the resident stated that they thought detergent used to wash the sheets caused the itching. In an interview with the Licensed Practical Nurse (LPN) "TT" on 8/26/09 at 1:10 p.m., she stated that the resident does not ask for [MEDICATION NAME] during the day and she was not aware of why the resident needed it. After reviewing the resident's care plan with LPN "OO" 1:15 p.m., she revealed that the resident had not been identified on the care plan for any problem that required the need of [MEDICATION NAME] at night on a frequent basis. In an interview with the Care Plan Coordinator on 8/6/09 at 1:30 p.m., she stated that a reason for the frequent use of [MEDICATION NAME] had not been discussed during the care plan meetings. 2014-04-01