cms_GA: 17

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
17	MAGNOLIA MANOR METHODIST NSG C	115004	2001 SOUTH LEE STREET	AMERICUS	GA	31709	2019-06-07	697	D	1	0	2RIR11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on interview, record review, and review of the facility policy titled, Obtaining and Receiving Medications from Pharmacy the facility failed to ensure the medication for pain was obtained timely for one of 12 residents (R A). Findings include: The facility had an Obtaining and Receiving Medications from Pharmacy policy. The policy documented that medications that must be reordered by the nurse included controlled substance medications. The policy further documented that Schedule II medications such as [MEDICATION NAME] and [MEDICATION NAME] products required a signed prescription by the physician and should be reordered at least seven days in advance. During interviews on 6/3/19 at 12:00 p.m. and 6/4/19 at 1:50 p.m. Resident (R) A stated that nursing staff waited until her pain medication ran out to order more. Record review revealed that RA had a care plan since 2/8/19 for being at risk for alteration in comfort related to [MEDICAL CONDITION] reflux disease, generalized pain and skin alteration with an intervention for licensed nursing staff to administer medication as ordered. Further record review revealed a Physician's order since 2/15/19 for [MEDICATION NAME] 10-325 milligrams (mg) to be administered every six hours for pain. There was also a physician's order since 2/13/19 for [MEDICATION NAME] 10-325 mg to be administered every six hours as needed for pain. However, a review of the clinical record revealed that the resident did not receive the scheduled [MEDICATION NAME] pain medication as ordered and as care planned on 4/23/19 at 12:00 p.m. and 6:00 p.m. On 4/23/19 a Physician's order was obtained to 1) Hold [MEDICATION NAME] 10-325 mg every six hours and resume when it was available. 2) Administer [MEDICATION NAME] 10-325 mg every six hours, scheduled and discontinue when the [MEDICATION NAME] became available. 3) Keep the order for [MEDICATION NAME] 10-325 mg every six hours as needed for pain. A review of the (MONTH) 2019 Medication Administration Record [REDACTED]. On 5/24/19 a Physician's order was again written to 1) Hold [MEDICATION NAME] 10-325 mg every six hours and resume when available 2) Administer [MEDICATION NAME] 10-325mg every six hours, scheduled, for pain and discontinue when [MEDICATION NAME] is available. The resident received [MEDICATION NAME] as scheduled through the 5/24/19 6:00 p.m. dose. The [MEDICATION NAME] 10-325mg was then administered routinely afterward until the supply on hand was exhausted on 5/29/19 at 6:00 p.m. When the on-hand supply of [MEDICATION NAME] 10-325 mg was exhausted, the [MEDICATION NAME] still had not been obtained from the pharmacy. During an interview on 6/3/19 at 12:40 p.m., Licensed Practical Nurse (LPN) AA stated that she phoned the pharmacy on the morning of 5/29/19 (a Wednesday) to check on the status of the [MEDICATION NAME] because she only had two doses of the [MEDICATION NAME] (for 12:00 p.m. and 6:00 p.m.) remaining. LPN AA stated that the pharmacy said they were waiting on a physician signature to fill the prescription. A new Physician's order was obtained on 5/30/19 to administer one Tylenol #4 every six hours as needed until the [MEDICATION NAME] arrived from the pharmacy. A review of the (MONTH) 2019 MAR's and narcotic logs revealed that the resident did not receive the Tylenol #4 until 12:30 a.m. on 5/31/19. Therefore, after the on-hand supply of [MEDICATION NAME] was exhausted and prior to obtaining and receiving the Tylenol #4 medication, the resident missed four scheduled [MEDICATION NAME] pain medication doses on 5/30/19 at 12:00 a.m., 6:00 a.m., 12:00 p.m. and 6:00 p.m. During an interview on 6/3/19 at 1:40 p.m. the Director of Nursing (DON) stated that the nurses should be checking and following up on medications that are low at the beginning of the week.	2020-09-01