cms_GA: 2621

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
2621	AUTUMN BREEZE HEALTH AND REHAB	115580	1480 SANDTOWN ROAD SW	MARIETTA	GA	30008	2018-03-09	693	D	0	1	UXT911	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and record review, facility failed to follow physician's orders as written for one of three residents (R) #79 who receive nutrition via a [DEVICE] (GT). On 3/5/18 at 7:00 p.m. R#79s tube feeding of [MEDICATION NAME] 1.5 noted to be running at 90cc per hour (hr) On 3/6/18 at 8:33a.m. [MEDICATION NAME] 1.5 hanging at 90cc per hr. At 12:15 p.m. noted [MEDICATION NAME] 1.5 continues to flow at 90cc per hr. At 2:30 p.m. [MEDICATION NAME] 1.5 continues at 90cc per hr. On 3/6/18 at 2:42 p.m. review of R#79s record revealed a physician order dated 2/22/18 for [MEDICATION NAME] 1.5 to run at 75cc per hr. A nutrition note dated 3/5/18 read, monthly wound assessment. Tube feeding decreased per last recommendation to 75cc per hr. for 19 hrs. and Zinc supplements started. On 3/6/18 at 3:33 p.m. an interview with the Registered Dietician (RD) revealed that she does not always physically visualize the tube feeding flow rates. She looks at the physician orders to determine what the resident should be receiving. When asked if she noted that R#79s tube feeding was flowing at a rate of 90 cc per hr. rather than the 75cc per hr. she documented on, she stated she did not note the discrepancy. On 3/6/18 at 3:35 p.m. a conversation with Unit Manager, BB, indicated that her duties are to review charge nurse activities daily. This includes review of physician orders and following through to make sure they are properly carried out. This included visualizing order changes. When asked if she physically looks at the Medication Administration Records (MARS) and reconciles them with the physical order, she stated yes. In this case she would have reviewed the physician's order, reviewed the MAR indicated [REDACTED]. When the Unit Manger BB was asked to escort surveyor to room where she confirmed that the tube feeding was flowing at the rate of 90 cc per hr. Employee GG, who has not been observed for his skills competency since 6/18/16, was providing care for R#79 when the concerns were identified. On 3/6/18 at 3:41 p.m. requested the Unit Manger BB to show surveyor the 24 hour MARS in the Electronic Medical Record (EMR) system. Review of the MAR indicated [REDACTED]. Employee BB was unable to state how long the rate had been wrong. On 3/7/18 at 2:37 p.m. review of R#79s MARs dated 2/22/18 through 3/6/18 revealed staff documented tube feeding rate was flowing at 75cc per hr.	2020-09-01