cms_GA: 2587

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
2587 GREEN ACRES HEALTH AND REHABILITATION 115578 313 ALLEN MEMORIAL DRIVE,SW MILLEDGEVILLE GA 31061 2017-08-10 282 D 0 1 FKXI11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to follow the care plan related to forwarding the Registered Dietician's (RD) recommendations to the physician for one resident (R) #137. The sample size was 30 residents. Findings include: Review of R #137's clinical record revealed that he had [DIAGNOSES REDACTED]. Review of his Admission Minimum Data Set ((MDS) dated [DATE] revealed that Nutritional Status triggered as an area of concern, with the decision to care plan. Review of a risk for alteration in nutrition due to multiple health complications including nutritional compromise, weight loss and dehydration care plan dated 8/1/17 revealed an intervention to consult the Registered Dietician (RD) PRN (as needed), with any recommendations to the MD (Medical Doctor) for review and consideration. Review of his risk for pressure ulcer care plan dated 8/1/17 revealed an intervention to refer to the RD for assessment and dietary needs. Review of the RD Consultant note dated 7/20/17 revealed that R#137 had chronic protein losses through [MEDICAL TREATMENT], and her recommendations included a multivitamin, Prostat AWC (Advanced Wound Care) (a protein supplement), and large entree and meat portions at all meals for 30 days. During an interview with the Resident Care Coordinator (RCC) CC on 8/9/17 at 2:52 p.m., revealed that the RD's recommendations for R #137 were never implemented. During an interview with the Wound Treatment Nurse on 8/10/17 at 2:48 p.m., revealed that there was no evidence that the physician was ever notified of the RD's nutritional recommendations, and that the recommendations had never been implemented. Cross-refer to F 325 2020-09-01