cms_GA: 1572

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
1572 SUMMERHILL ELDERLIVING HOME & CARE 115430 500 STANLEY STREET PERRY GA 31069 2019-05-31 677 D 1 1 U20X11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on family and staff interviews, and record review the facility failed to provide scheduled bath for one of 48 Resident (R#498) dependent on staff for activities of daily living (ADLs). Findings include: Review of the clinical record revealed R#498 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the 5/13/19 Admissions Minimum Data Set (MDS) revealed the resident was assessed as needing extensive assistance with dressing, personal hygiene, and toilet use. Review of the care plan revealed R#498 has an Activities of Daily Living (ADL) self-care performance deficit related to fatigue, recent rectal surgery, decreased mobility, and pain. Bathing/showering requires assistance by staff. R#498 should be provided a sponge bath when a full bath or shower cannot be tolerated. R#498 requires assistance by staff with personal hygiene and oral care. An interview with a family member of R#498 on 5/28/19 at 1:01 p.m., revealed that her father was in the facility for one week before receiving a bath. She stated he has not received any ADL care including, but not limited to, a haircut, cleaning of nails, and grooming of facial hair. During an interview on 5/30/19 at 12:05 p.m. with AA (RN Unit Manager). RN AA stated that R#498 is supposed to receive a bath on Tuesdays, Thursdays, and Saturdays. During baths he is supposed to be groomed. Review of an ADL task on Kardex revealed that the resident is to receive baths on Tuesdays, Thursdays, and Saturdays between the times of 11 p.m. to 7 a.m. R#498 received a bath on 5/19/19, 5/23/19, 5/24/19, 5/25/19, 5/26/19, 5/27/19, 5/30/19, and 5/31/19; however, the resident did not receive a bath until six days after being admitted to the facility. During an interview on 5/31/19 at 11:04 a.m. with the Assistant Director of Nursing (ADON) revealed that when a new admission comes into the facility the care information gathered during the initial assessment is entered into the Kardex and electronic health record. The ADON further revealed that Certified Nursing Assistants (CNAs) can see care information immediately and should begin care immediately. The ADON confirmed that R#498 did not receive a bath until six days after admission. Further interview with RN AA and ADON, at this time, revealed that the medical record for R#498, did not include any any documentation that indicated why the resident had not received a bath for the first six days after being admitted . 2020-09-01