cms_GA: 2980
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 2980 |
PRUITTHEALTH - FITZGERALD |
115617 |
185 BOWEN'S MILL HIGHWAY |
FITZGERALD |
GA |
31750 |
2019-07-03 |
808 |
D |
1 |
0 |
KWBX11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review, the facility failed to obtain a therapeutic diet consultation, as ordered by the physician, for one of three residents (R#5) reviewed for diets. Findings include: Resident (R) #5 had [DIAGNOSES REDACTED]. There were care plans in place for the potential for alteration in nutrition and a desire to lose weight with an intervention for a Registered Dietician (RD) consultation and/or evaluation as needed. A review of the Yearly Weight Record Form for 2019 revealed that R#5 had lost 11 pounds, as care planned, since 2/15/19. A review of the clinical record revealed R#5 had been receiving a no added salt (NAS), liberalized diabetic (LDD), regular consistency diet since 2/18/19. On 5/2/19 R#5 received a cortisone injection to the left knee. A review of the physician's note from 5/2/19 revealed a [DIAGNOSES REDACTED]. Following the cortisone injection, an order was written on 5/2/19 to obtain a dietician consultation with the resident to discuss a low carbohydrate, weight reduction diet for DJD of the left knee and [MEDICAL CONDITION]. However, there was not any evidence in the clinical record that the dietician consultation was obtained as ordered until after surveyor inquiry on 6/25/19. During an interview on 6/25/19 at 2:00 p.m., the Assistant Director of Health Services (ADHS) confirmed that the physician's orders [REDACTED]. On 6/25/19 the RD was notified of the order via the Registered Dietician E-Fax Recommendation Form. The RD responded on 6/25/19 with a recommendation to discontinue the NAS, LDD, regular consistency diet and start a NAS, no concentrated sweets (NCS), regular consistency diet, adding fruit only for desserts. During an interview on 7/3/19 at 10:30 a.m. the Director of Health Services (DHS) stated that she would have expected nursing staff to have acted on the 5/2/19 order for the dietician consultation prior to surveyor inquiry on 6/25/19. |
2020-09-01 |