cms_GA: 2128

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
2128 PRUITTHEALTH - SWAINSBORO 115533 856 HIGHWAY 1 SOUTH SWAINSBORO GA 30401 2017-08-17 280 D 0 1 5KKX11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on staff interview and record review the facility failed to revise the care plan to address treatment for [REDACTED].#60. The sample size was 28. Findings include: Review of the resident's care plan revealed there had been no revision of R#60 plan of care to indicate the resident had interventions to reflect any treatment for [REDACTED]. The Braden Scale assessment revealed that the resident was at high risk for impaired skin integrity. Further review for resident R#60's plan of care dated 3/31/17 title Alteration to skin integrity revealed an update added on 4/6/17 for a pressure ulcer to the left heel. Further review of the care plan did not reveal any interventions to address preventive measures for the heel area.Review of the wound assessment notes and physician order revealed that R#60 was receiving treatment for [REDACTED]. Interview with the Treatment Nurse on 8/16/17 at 1:58 p.m. revealed that she was unaware that R#60's care plan was missing interventions to address the pressure ulcer now categorized as a friction area on the left heel area. She reported that area to left heel is a friction area with an intact crust. She stated a crust means a scab and not considered a pressure sore to the left heel. She reported the heel has never been open and is presently being assessed as a friction area. She described the heel as having a crust with no drainage with a harden discoloration, and crust is about a pea size. She stated the friction area is being treated with skin prep. She further stated that she was not the treatment nurse at the time the heel area was identified as a pressure ulcer. She stated that the Director of Nurses was the former treatment nurse prior to she taking the position in latter part of (MONTH) (YEAR) . Interview with the Assistant Director of Nurses on 8/16/17 at 2:36 p.m. confirmed that the resident has a friction area to the left heel and not a pressure ulcer to the left heel. She verified that the care plan had not been revised to include interventions related to the friction area. She further stated that R#60 was admitted on [DATE] with a Stage 3 pressure sore to sacral and a Stage 2 pressure sore to left heel. The left heel healed on 4/27/17 and the sacral is presently ongoing. On 6/5/17 the pressure ulcer to left heel was re-assesed as a friction area to left heel. She stated that the left heel now is enclosed with a scab over it and no longer an open area. Review of the facility policy title, Facility Pressure Injury Prevention -Long Term Care Policy revealed pressure ulcers should be completed by a licensed nurse under the assignment of a register nurse with perodic validation by an register nurse Braden Scales should be completed on admission, readmission , and weekly for 4 weeks after admission or readmission, quarterly, and with any significatnt changes. Care plan, supportive device, and treament was noted in the policy 2020-09-01