cms_GA: 3083

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
3083 WYNFIELD PARK HEALTH AND REHABILITATION 115625 223 W.THIRD AVENUE ALBANY GA 31701 2017-10-05 332 D 0 1 KU9S11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure the medication error rate was less than 5%. A total of 31 medication opportunities were observed with three errors, for two of six residents, for a total error rate of 9.6%. Findings include: 1. During an observation on 10/4/17 at 8:50 a.m., Licensed Practical Nurse (LPN) AA administered an 81 milligram (mg) [MEDICATION NAME] coated aspirin to Resident (R) #140. However, a review of the clinical record revealed a physician's order since 4/23/13 for an 81 mg chewable aspirin tablet to be administered. Also during the observation on 10/4/17 at 8:50 a.m., LPN AA administered two drops of Refresh eye drops to R#140's left eye and three drops in the right eye. However, a review of the clinical record revealed a physician's order, since 9/13/17, for one drop of Refresh eye drops to be administered to each eye. 2. During an observation on 10/4/17 at 11:46 a.m., LPN BB administered 10 units of [MEDICATION NAME] R insulin to R #169 for a blood sugar level of 332. A review of the physician's orders revealed an order, since 8/28/17, for [MEDICATION NAME] R insulin to be administered on sliding scale basis. However, the sliding scale stopped at a blood sugar level reading of 300. There was no physician's order for the amount of insulin to administer for a blood sugar level of 332. After surveyor inquiry, a physician's order was obtained for licensed nursing staff to administer 12 units of [MEDICATION NAME] R insulin for blood sugar levels greater than 300. During an interview on 10/5/17 at 12:12 p.m., the Director of Nursing (DON) stated that LPN BB should have notified the resident's physician or nurse practitioner to obtain an order of how much insulin to administer. 2020-09-01