cms_GA: 34

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
34 NORTH DECATUR HEALTH AND REHABILITATION CENTER 115012 2787 NORTH DECATUR ROAD DECATUR GA 30033 2018-12-06 677 D 0 1 46UW11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and staff interviews, the facility failed to ensure that activities of daily living (ADL) was provided for two dependent residents (R) R#38 and R#214 related to nail care. The sample size was 40. Findings include: 1. A review of the clinical record for R #38 revealed resident was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The resident's most recent Minimum Data Set ((MDS) dated [DATE], revealed a Brief Interview for Mental Status (BIMS) was coded as 10, which indicated mild cognitive impairment. Section G revealed that the resident was assessed for total dependence for dressing, toilet use and personal hygiene. Review of updated care plan for R #38, dated 8/1/18, did not have evidence that R #38 had a care plan problem to include assistance needed with Activities of Daily Living (ADL) care. Observation on 12/3/18 at 1:49 p.m., 12/4/18 at 3:05 p.m., and 12/5/18 at 9:06 a.m., revealed that fingernails on both hands have dark brown material underneath and are untrimmed. 2. A review of the clinical record for R #214 revealed resident was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident #214 is a new admission and entry tracking Minimum Data Set ((MDS) dated [DATE] is only MDS available, therefore, no data available at this time. Observation on 12/3/18 at 12:48 p.m., 12/4/18 at 11:02 a.m., and 12/5/18 at 10:09 a.m., and 12/6/18 at 8:30 a.m. revealed that nails are untrimmed and dirty underneath on both hands. Resident stated he would like for them to be trimmed. Interview on 12/6/18 at 8:34 a.m. with Certified Nursing Assistant (CNA) AA stated she is assigned 1-12 residents each day. She provides daily care consisting of bathing, shaving, brushing teeth, assisting with eating (meal set-up) and dressing, and feeding if they need help. If the residents are bed bound, she stated that she turns them every two hours. When asked about providing nail care, she stated that she checks nails about every two weeks, and cleans them if they are dirty. She further stated that she trims nails once per month. During further interview, she stated that she had not noticed that R#38 or R#214 needed their nails cleaned or trimmed. Interview on 12/6/18 at 8:55 a.m., with Registered Nurse (RN) BB, stated that when she has extra CNA staff, she will assign the extra person to do nail care and shaving residents. She stated if there are no extra staff members available assigned to nail care, it is her expectation that the CNA assigned to the resident check their nails daily and clean and trim them if needed. During further interview, she stated that she has a extra CNA assigned to take care of nails today. Interview on 12/6/18 at 5:22 p.m., with RN BB, verified that R#38 and R#214 had dirty and untrimmed fingernails. 2020-09-01