cms_GA: 32

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
32	NORTH DECATUR HEALTH AND REHABILITATION CENTER	115012	2787 NORTH DECATUR ROAD	DECATUR	GA	30033	2018-12-06	655	D	0	1	46UW11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, record review and policy title Baseline Care Plan, the facility failed to develop a baseline care plan for one resident (R) [NAME] Sample size was 37. Findings include; Resident A was admitted on [DATE]. [DIAGNOSES REDACTED]. Medications ordered included but not limited to; fleet oil enema (mineral oil),insert 133 milliliters (ml) rectally every 24 hours(hrs.) as needed(prn) for constipation may self-administer, senna tablet 8.6 milligrams (mg) (sennosides) give two tablets by mouth (po) at bedtime (hs) for laxatives, [MEDICATION NAME] powder (polyethylene [MEDICATION NAME] 3350) give 17 grams (gms) po at hs for constipation, [MEDICATION NAME] capsule 100 mg ([MEDICATION NAME] sodium) give one capsule po prn for constipation. An interview on 12/3/18 at 1:51 p.m. with R A stated hasn't had a BM in nine days. Continued to state has told the Certified Nursing Assistant (CNA) and the charge nurse. An interview with R A on 12/4/18 at 5:08 p.m. stated had bowel movement (BM) and is feeling much better. Stated they administered an enema and now is ready to go home. Record review on 12/5/18 on 8:19 a.m. evidenced a nurse's note dated 12/4/18 at 2:10 p.m. Medical Doctor (MD) at bedside this shift to assess and review medications; new orders to discontinue (d/c) [MEDICATION NAME], start [MEDICATION NAME] 50mg prn; Fleets Enema prn, and give senna and [MEDICATION NAME] every (q) hs; orders noted; Enema administered this shift with results; large loose stools noted. Resident states to writer, It's just what the doctor ordered. States, I feel much better. Further review of medical record on 12/5/18 at 9:32 a.m. revealed that two nursing skilled documentations dated 12/2/18 and 12/3/18 revealed the resident was assessed for being constipated. Review of resident record revealed there was no baseline care plan in place to address the resident's issue with constipation. An interview on 12/5/18 at 10:13 a.m. with Director of Nursing (DON) indicated the initial care plans should be under the tab in the electronic medical record (EMR), record which states baseline care plan. When DON attempted to retrieve R A's care plan, DON stated there was no care plan that had been initiated for this resident. The DON further stated that the person who regularly addresses and completes the MDS and care plans, is no longer with the facility. There have been staff members from other facilities coming in to assist with the MDS process, along with corporate personnel. A new person has filled the position on Monday 12/3/18 (day of survey entrance) and is being oriented to the facility and residents. An interview on 12/6/18 at 1:11 p.m. with Corporate Area Resident Care Management Director(RCMD) indicated the R A now had a baseline care plan which was developed 12/5/18, five days after admission. Per policy titled Baseline Care Plan dated (MONTH) (YEAR), on page two of four, states within 48 hours of admission to facility, the initial assessment information gathered will be used to initiate the baseline care plan (Electronic Health Record).	2020-09-01