cms_GA: 3073

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
3073	WYNFIELD PARK HEALTH AND REHABILITATION	115625	223 W.THIRD AVENUE	ALBANY	GA	31701	2016-04-15	282	D	0	1	P0W211	Based on observation, record review, interview, and review of policies and procedures, the facility failed to implement the pressure ulcer care plan for 1 of 31 residents (Resident (R) 229) in the Stage 2 sample. This deficient practice had the potential to allow the development of pressure ulcers in this resident with an increased risk for skin breakdown. Findings include: Observation of R229 on 4/13/16 from 10:05 a.m. until 11:25 a.m. revealed that she was seated in a Broda chair (a chair that lifts and tilts in order to provide repositioning for long term care residents) and she continued to cry out for the entire hour and 20 minutes. R229 repeated over and over again, This hurts, and I can't get up. Could someone help me? Observation of the Broda chair at that time revealed that it had plastic pads on the sides and back, but it did not have a separate pressure reducing cushion on the seat. R229 continued to pull at the thigh pads and scoot down in the chair. Review of the medical record revealed the facility admitted R229 on 3/28/16 with depressive episodes and anxiety, and that she had an increased risk for skin breakdown. Review of the pressure ulcer care plan dated 4/6/16 revealed that R229 was at high risk for pressure ulcers related to overall aging and disease process. The Interventions the facility developed included the use of a pressure reduction cushion when she was out of bed. An interview with the wound care nurse, Licensed Practical Nurse (LPN) 3 and the Occupational Therapy Director on 4/13/16 at 11:45 a.m. revealed the Broda chair was intended to reposition residents but it did not include a pressure reducing cushion on the seat. The Occupational Director added that there are special cushions that inflate which are pressure reducing devices, but R229 did not have that type of cushion on the seat of her Broda chair. Review of the facility's policies and procedures revealed an undated document entitled, Developing an Interdisciplinary Care Plan - At a Glance that provided the following information: .c. Interventions- should be specific individualized approaches that staff will take to assist the resident to achieve the identified goal. They should be instructions for care and should be easily understood by staff. Interventions are to be carried out by staff . An interview with the Director of Nursing (DON) on 4/13/16 at 12:00 p.m. revealed that R229's Broda chair did not have a separate pressure reducing cushion; consequently the facility had failed to implement the pressure ulcer care plan.	2020-09-01