cms_GA: 10636

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
10636	WILLOWWOOD NURSING CENTER	115327	4595 CANTRELL ROAD	FLOWERY BRANCH	GA	30542	2011-03-10	279	D			82I011	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and staff interview the facility failed to develop a comprehensive plan of care that included measurable objectives and timetables to meet a resident's medical needs related to weight loss and antianxiety medications for one (1) resident, (#24) on a sample of nineteen (19) residents. Findings include: 1. Review of the physician orders [REDACTED]. She was ordered Carnation Instant Breakfast 120 milliliters three (3) times a day on 2/22/11. Observation of the lunch meal on 3/08/11 at 12:20 p.m. revealed that resident #24 was served chopped meat, white rice, sweet potatoes, brussel sprouts, a roll, fruit, tea, water and coffee. Interview with Licensed Practical Nurse (LPN) Clinical Manager at that time revealed that the rice was considered to be a fortified food item. Record review revealed an admission weight, dated 9/22/10, of 178.8 pounds and a height of 61 inches. Following monthly weights were: 10/2010=177 pounds; 12/2010=165 pounds; 1/08/11=155 pounds. Review of the medical record for resident #24 revealed that no care plan had been developed for this resident. The Minimum Data Set (MDS) assessment from her admission on 9/22/10 were on the medical record and the RAP summaries. However, there was no individualized plan of care related to nutrition or weight loss for the resident. On 3/08/11 at 4:00 p.m., interview with the MDS Coordinator revealed that resident #24 did not have a care plan that addressed her nutritional status. 2. Review of the Physician order [REDACTED]. Review of the Medication Administration Record [MEDICATION ADMINISTRATION RECORD DETAILS REDACTED]. The most recent quarterly MDS 3.0 assessment documented that the resident was receiving an antianxiety medication daily. On 3/8/2011 at 4:15 p.m. review of resident #24's medical record revealed that there was no developed plan of care related to antianxiety medications. Interview with the MDS Coordinator on 3/08/2011 at 4:00 p.m. revealed that a comprehensive care plan had not been developed for resident #24 related to the use of antianxiety medications.	2014-01-01