cms_GA: 2649

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
2649	GORDON HEALTH AND REHABILITATION	115584	1280 MAULDIN ROAD NE	CALHOUN	GA	30703	2016-12-15	156	D	0	1	YZ5011	Based on staff interview and record review the facility failed to provide the Notice of Medicare Non-Coverage (NOMNC) for one (1) Resident (#23) of three (3) residents reviewed who were discharged from Medicare Part A services. The facility also failed to provide a copy of the Skilled Nursing Facility Advanced Beneficiary Notice to the resident (#23) who continued to reside in the facility under Part B services. The sample was twenty-six (26). Findings include: Review of the records for Resident (R#23) revealed the resident was admitted to the facility for skilled services on 10/24/16. Review of the skilled services review note dated 11/22/16 revealed R#23 was discharged from physical therapy (PT) and occupational therapy (OT) services with effect from 11/22/16. Review of the physician ' s progress note dated 11/22/16 revealed the physician documented the resident's last day of therapy would be 11/22/16 and that the resident would transition to LTC effective from 11/23/16. Further review of the records for R#23 revealed that it did not contain a copy of the Notice of Medicare Non-Coverage (NOMNC), nor a copy of the Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN). Interview on 12/12/16 at 1:15 p.m. with the Financial Comptroller (FC), revealed that the facility expected R#23 to be discharged from skilled services after 11/22/16 based on a recommendation from therapy, and also expected the resident to remain in the facility on custodial care with effect from 11/23/16. The resident resumed skilled services, effective from 12/1/16, after a cast was removed from her arm. The financial comptroller confirmed that neither a copy of the Notice of Medicare Non-Coverage (NOMNC), nor a copy of a Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) was on file to indicate it was provided to the resident or family at the time of discharge from services on 11/22/16, and that she did not know why this was not done, except that it might have been an oversight. The FC further stated she had checked with the MDS coordinator who is responsible for completing the forms and forwarding them to the FC to be placed in the residents' records and the MDS coordinator had not completed any such forms for R#23. Interview on 12/12/16 at 1:35 p.m. with the facility Administrator revealed that the resident was admitted with a cast on her arm and therapy felt they had done all they could do until the cast was removed. Therefore, the resident was discharged from therapy services on 11/22/16. The resident had an appointment to have the cast removed later in the month, and the facility thought they would stop therapy services on 11/22/16 and resume once the cast came off in about a week. He said the resident and family were aware of this plan and was in agreement. The administrator said it may have been an error on the part of the facility not to provide any liability notices, but they did not think that they needed to under the circumstances. Interview on 12/14/16 at 1:30 p.m. with the MDS coordinator revealed that she usually provides residents receiving Medicare Part A services with a NOMNC when their skilled services come to an end or when they have exhausted their one hundred (100) days of covered services. If the resident is to continue in the facility under Part B services, she also provides the SNF ABN to the resident in addition to the NOMNC. The MDS coordinator said she had not provided either form (the NOMNC or the SNFABN) to R#23 or the resident ' s family because the plan was for the resident to resume skilled services at a later date and the resident ' s family/representative was aware of and in agreement with that plan. The skilled services did end on 11/22/16 and resumed on 12/1/16.	2020-09-01