cms_GA: 37

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
37 NORTH DECATUR HEALTH AND REHABILITATION CENTER 115012 2787 NORTH DECATUR ROAD DECATUR GA 30033 2018-12-06 757 D 0 1 46UW11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, policy review and staff interview, the facility failed to ensure that one residents drug regimen was free from unnecessary medication with duplicated drug therapy for one resident (R) #17. The sample size was 40. Findings include: Review of facility policy titled Physician order [REDACTED]. Procedure receiving a written or faxed order number two: The licensed nurse receiving the order verifies the order to ensure it is complete and that it includes resident name, room/bed, date of order, time of order, Physician signature and date, Physician name, Medication name, accurate dosage, accurate frequency, duration of order, if applicable, accurate route if applicable and medical indication for medication or reason for use. Observation of medication administration on 12/4/18 at 8:25 a.m. with Licensed Practical Nurse (LPN) EE revealed she administered multiple medications to R#17. The following observations were made: Calcium + vitamin D3 (a medication given as a supplement) 600/400 milligram (mg) tablet one time a day, Duloxetine (a medication used to treat depression) 60 mg capsule one time a day, [MEDICATION NAME] (a medication used to treat [MEDICAL CONDITION]) 300 mg capsule one time a day, [MEDICATION NAME] (a medication used to treat hypertension) 25 mg two times a day (bid), [MEDICATION NAME] (a medication used to treat fluid retention) 20 mg two times a day (bid), [MEDICATION NAME] (a medication used to treat acid reflux) 20 mg two times a day (bid) and [MEDICATION NAME] (a medication used to treat pain) 10 mg three times a day (TID), Aspirin (a medication used as a blood thinner) 81 mg one time a day, Senna (a medication used as stool softener) 8.6 mg two tablets one time a day, Isorbide (a medication used to treat hypertension) 30 mg one time a day and Polyethylene [MEDICATION NAME] (a medication used to treat constipation) 17 grams (gm) one time a day. During reconciliation with review of R#17 printed physician orders [REDACTED]. medication order was for [MEDICATION NAME] 20 mg two times a day (bid), administration times at 6:00 a.m. and 4:00 p.m. and [MEDICATION NAME] 20 mg three times a day (TID), with administration times at 9:00 a.m., 1:00 p.m. and 9:00 p.m. Interview on 12/4/18 at 10:36 a.m. with Registered Nurse (RN) BB stated the night shift nurses are responsible for verifying Physician order [REDACTED]. During further interview, she stated that she checks every MAR indicated [REDACTED]. Interview on 12/4/18 at 12:10 p.m. with RN BB stated she contacted R#17 Physician regarding clarification of the two duplicate medications and clarification orders were obtained from physician to discontinue one each of the duplicated orders. 2020-09-01