cms_GA: 35

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
35 NORTH DECATUR HEALTH AND REHABILITATION CENTER 115012 2787 NORTH DECATUR ROAD DECATUR GA 30033 2018-12-06 684 D 0 1 46UW11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, Interviews and record reviews, the facility failed to ensure quality care and services in accordance with professional standards for one resident (R#55) for the provision of Restorative Nursing for Range of Motion (ROM). The sample size was 40. The Findings: Review of resident (#55) medical record revealed the resident was admitted to the facility on (MONTH) 13, (YEAR) with [DIAGNOSES REDACTED]. Further review of resident (#55) medical record revealed his Minimum Data Set (MDS) quarterly assessment dated (MONTH) 3, (YEAR) indicated that resident (#55) has impairments to one side on the upper extremities and has impairments of both legs on the lower extremities. Additionally, according to resident MDS he is receiving Restorative Services for 6 weeks with splinting devices. Review of resident physician orders [REDACTED].#55) to have splinting brace on left elbow extremity and left resting hand splint with digit separator for first eight hours with skin checks. The program was scheduled for six days a week for six weeks. Observation made on 12/04/18 at approximately 10:38 a.m revealed resident R#55 left hand contracted while in bed asleep without splinting device in place. At the time of the observation the splint was observed lying on his dresser beside him. Observation made on 12/05/18 at approximately 01:34 p.m revealed resident R#55 in his bed asleep with the splinting device lying on top of the dresser beside him. Observation made on 12/05/18 at approximately 02:44 p.m revealed resident R#55) in his bed awake with splinting device on his dresser. Review of resident restorative log for the month of (MONTH) (YEAR) through (MONTH) (YEAR) indicated there were no documented refusals of resident (#55) refusing to wear splinting devices. Additionally, there were no documented times to show when restorative aids applied splinting devices on and off R(#55). On (MONTH) 5, (YEAR) at 02:15 PM an interview was conducted with Certified Nursing Assistant (CNA) GG she stated that R#55 was supposed to have his splint brace on for eight hours a day and that she put his splint on earlier doing the shift but remove it after 2:30 p.m. She also stated that he cannot make his needs known and he rarely refuses care. On (MONTH) 5, (YEAR) at 3:30 PM an interview was conducted with the Director of Clinical Services. She stated that R#55 should've had his splint on for the shift unless he refused care. She also stated that the Minimal Data Set Coordinator is responsible for making sure restorative is caring out their duties but at this time they currently do not have a MDS coordinator that 2020-09-01