cms_GA: 10644

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.

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
10644 WILLOWWOOD NURSING CENTER 115327 4595 CANTRELL ROAD FLOWERY BRANCH GA 30542 2011-03-10 325 D     82I011 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and staff interview the facility failed to ensure nutritional parameters were maintained for two (2) residents ("B" and #11) from 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. The resident was observed to quickly eat the meat, rice and tea but no other food items. No substitutes or second servings were offered. Interview with the resident at that time revealed she did not have much of an appetite and had lost weight since admission to the facility. She decribed herself as a picky eater at times but does like the vanilla drink she receives with her medications. 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. There was no individualized plan of care related to nutrition or weight loss for the resident. Interview with the LPN Manager revealed she considered the weight loss for this resident as beneficial. 2. A review of the clinical record of resident #11 revealed that she had experienced significant weight loss as follows: 03/01/2011; Weight: 117 (12.7% loss in 3 months) 01/13/2011; Weight: 127 (5.2% loss in 1 month) 12/20/2010; Weight: 134 (baseline weight) Further record review revealed the resident's care plan regarding the potential alteration in nutrition status had not been reviewed or revised since 12/24/10. An interview with the facility's Care Plan Coordinator on 3/08/11 at 3:00 p.m. revealed the care plan had not been revised to reflect this weight loss. Although the care plan did not reflect the resident's weight loss, review of Dietary Notes revealed the weight loss was identified and interventions in place to address the weight loss following the March 2011 weight loss. 2014-01-01