cms_GA: 13

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
13 MAGNOLIA MANOR METHODIST NSG C 115004 2001 SOUTH LEE STREET AMERICUS GA 31709 2018-02-01 761 D 0 1 0R9911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, review of the Medication Administration Procedural Guidelines and interviews the facility failed to ensure that the medication cart was locked during medication administration on one of four medication carts observed during medication administration. Findings include: Observation on 01/31/18 at 4:42 p.m. during Medication Administration with Licensed Practical Nurse (LPN) LPN AA on Unit 1 medication cart. revealed that LPN AA parked the medication cart outside along the opposite wall from room [ROOM NUMBER] on Unit 1 and at 4:21 p.m. and returned to the medication cart to remove medications to administer to the other resident in room, 125 A bed. At 4:24 p.m. LPN AA was observed to remov medications from the cart that was against the wall on the other side of the hall on Unit 1 that was not in direct view of the nurse in the residents room [ROOM NUMBER] [NAME] LPN AA then left the medication cart unlocked going into room [ROOM NUMBER] A leaving the door open however, the LPN's back was to the medication cart the entire time she was in the room. LPN AA then came out of the room and called for assistance to help reposition the resident in the bed, not realizing that the medication cart remained unlocked. LPN AA then went back into room [ROOM NUMBER] A continuing to leave the medication cart unlocked. After repositioning the resident with assistance and administering the residents medication the surveyor observed by standing right out side of residents door. LPN AA came out of the room at 4:35 p.m. Interview with the LPN AA, at this time revealed that she had not received any training here at the facility and did not have a preceptor here before starting on the floor, LPN AA also reported she was an agency nurse and started on the medication cart two months ago and comes two times a week. Interview on 2/1/18 at 11:00 a.m. with the Director of nursing reported that the licensed nursing staff do a skills check off list and Life safety packet annually and that on hire agency nurses only do the life safety packet but do not do a skills check off. The DON also reported that the facility receives a packet of the training and skills for agency nurse and what skills they have completed. The DON reported that the expectation is a safety expectation that the medication cart remains locked at all times. Interview on 2/1/18 2:00 at p.m. with RN Unit Manager on 200 Hall reported that all nurses and agency included know that the medication cart is to be locked when they are not in it or by it. Interview on 2/1/18 at 2:45 p.m. with the Administrator who reported that agency nurses receive training from the company they work with and that is noted in our contracts and that when they come to work in this facility the agency nurses receive the facility Life Safety Orientation packet on hire and in the packet they are to review it and it includes the facility Policies and Procedures and where they are located on each unit and in every department. The Administrator reported that any nurse would know that they are to lock their medication cart when not in it. Stated she is aware of the agency nurse that was observed during medication administration yesterday and stated of course her expectations would be that the LPN should have locked the medication cart. Review of the facility Medication Administration Procedural Guidelines dated (MONTH) (YEAR)- #18. During routine administration of medications, the medication cart is kept in the doorway of the patient's room, with open drawers facing inward and all other sides closed. No medications are kept on top of the cart. The cart must be clearly visible to the personnel administering medications, and all outward sides must be inaccessible to patients or others passing by. 2020-09-01