cms_GA: 10588

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
10588 CORDELE HEALTH AND REHABILITATION 115429 1106 NORTH 4TH STREET CORDELE GA 31015 2010-09-01 309 D     W2R511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, it was determined that the facility failed to administer medication as ordered for one resident (#6) and failed to obtain a physician's orders [REDACTED].#8), from a total sample of 16 residents. Findings include: 1. Resident #8 had a physician's orders [REDACTED]. A review of the resident's June 2010 Medication Administration Record [MEDICATION ADMINISTRATION RECORD DETAILS REDACTED]. However, review of the clinical record revealed that there was no evidence of a physician's orders [REDACTED]. During an interview on 8/31/10 at 3:30 p.m., licensed nurse "AA" confirmed that there was not a physician's orders [REDACTED]. Licensed nurse "AA" stated on 8/31/10, after surveyor inquiry, that she had clarified the order with the physician, who wanted it to be administered routinely. 2. Resident #6 had been receiving 3.5 milligrams (mg) of [MEDICATION NAME] daily since 7/23/10. On 7/29/10, the physician ordered 100 milligrams (mg) of [MEDICATION NAME] (an antibiotic) twice daily for ten days to treat a urinary tract infection. There was an 8/2/10 physician's orders [REDACTED]. PT and INR levels were obtained on 8/5/10. The results were available on 8/6/10. The resident's PT and INR levels were reported as having been abnormally high at 25.1 ( normal range 9.5 to 11.8 seconds) and 4.29 respectively. There was a handwritten physician's orders [REDACTED]. However, a review of the August 2010 MAR indicated [REDACTED]. Another PT and INR level was obtained on 8/8/10 with the results available on 8/8/10. The PT and INR levels had increased and were reported as having been critically high at 31.4 and 5.42 respectively. At that time, [MEDICATION NAME] was ordered to be held and then the other orders for reducing the dosage of [MEDICATION NAME] and obtaining PT/INR levels were followed. 2014-03-01