cms_GA: 36

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
36 NORTH DECATUR HEALTH AND REHABILITATION CENTER 115012 2787 NORTH DECATUR ROAD DECATUR GA 30033 2018-12-06 695 D 0 1 46UW11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** The facility failed to maintain resident [MEDICAL CONDITION], medication nebulizer and oxygen equipment in a sanitary manner for three of seven sampled residents, Resident (R)#29, R# 38 and R#3. Findings include: 3. The facility failed to maintain resident [MEDICAL CONDITION], medication nebulizer and oxygen equipment in a sanitary manner for three of seven sampled residents, Resident (R)#29, R# 38 and R#3. Findings include: 3. Review of the clinical record for R#3 revealed she was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. She had no known drug allergies and elected full code status. Review of the physician's orders [REDACTED]. 1. Oxygen (O2) at two liters per minute (LPM) via nasal cannula (NC). 2. Change O2 tubing every Tuesday and when visibly soiled. 3. Pulse oximetry every shift 4. Check and clean (O2) concentrator filter every month and as needed. Observation of the O2 concentrator for R#3 on 12/03/18 at 12:25 p.m. revealed the equipment in good working order but the washable dust filter was covered with a thick, pale gray layer of dust. Observation of the O2 concentrator for R#3 on 12/04/18 at 1:14 p.m., revealed the washable filter was covered with a thick, pale gray layer of dust. Observation of the O2 concentrator for R#3 on 12/04/18 at 4:49 p.m., revealed the washable filter was covered with a thick, pale gray layer of dust. Observation of the O2 concentrator for R#3 on 12/05/18 at 8:40 a.m., revealed the washable filter was clean. Review of the most recent Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 13, indicating she was cognitively intact; a Mood Total Severity Score of 0, indicating she was not depressed; and displayed no behaviors. Continued review of the same assessment documented R#3 as using oxygen while a resident. In an interview with R#3 on 12/5/18 at 8:40 a.m. regarding maintenance of the O2 concentrator, she stated she did not recall who or when the washable filter was cleaned. She was wearing O2 via NC at 3 LPM and neither displayed or expressed any signs/symptoms of respiratory distress. Review of facility policies related to O2 administration did not reveal any policy or procedure for cleaning O2 concentrator filters. DONE. 2. 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. Observation on 12/3/18 at 1:53 p.m. resident sitting in wheelchair in hallway outside his room. [MEDICAL CONDITION] speaking valve is dirty with brown debris on cap. There is not [MEDICAL CONDITION] around the tube and [MEDICAL CONDITION] are dirty with brown stained color. Observation on 12/4/18 at 7:54 a.m. resident in bed.[MEDICAL CONDITION] intact, but without a dressing [MEDICAL CONDITION] valve remains dirty. A review of the clinical record for R #29 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 13, which indicated no cognitive impairment. Section O revealed that the resident was assessed for Oxygen use while a resident. Observation on 12/3/18 at 10:14 a.m. Oxygen concentrator filter noted with thick layer of gray colored debris. Nebulizer mask un-bagged and undated, sitting on bedside nightstand. Observation on 12/4/18 at 8:25 a.m. Oxygen concentrator filter remains with thick layer of gray debris. Observation on 12/4/18 at 3:14 p.m. Oxygen concentrator filter remains dirty with thick layer of gray debris. Interview on 12/6/18 at 4:32 p.m. with Registered Nurse (RN) BB stated that the facility has an outside contract with Specialized Medical Services (SMS) that comes weekly to care for the residents [MEDICAL CONDITION]. She stated the nursing staff change the Oxygen tubing and nebulizer masks weekly. She further stated it is her expectation that the nurses change tubing weekly and clean the Oxygen filters weekly or as needed. 2020-09-01