cms_GA: 4277

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.

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
4277 SOUTHWELL HEALTH AND REHABILITATION 115655 260 MJ TAYLOR ROAD ADEL GA 31620 2016-07-01 279 D 0 1 0GTS11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview the facility failed to develop comprehensive care plan for two (2) residents (#70 and #24) for diabetes management from a sample of 42 residents. Findings include: 1. Resident #70 was admitted to the facility on [DATE] with multiple [DIAGNOSES REDACTED]. Review of the medical record revealed a physician order [REDACTED]. FSBS results 61-140 give 0 units, FSBS results 141-180 give 2 units, FSBS results 181-240 give 4 units, FSBS results 241-300 give 6 units, FSBS results 301-400 give 8 units, FSBS greater than 400 give 12 units and call the physician. The resident was also ordered [MEDICATION NAME] Insulin 30 units subcutaneously in the evening. Review of the comprehensive care plan revealed no plan to address the resident's sliding scale insulin coverage, hypo/[MEDICAL CONDITION] or the FSBS as ordered by the physician. Interview on 06/30/16 at 5:40 p.m. with Licensed Practical Nurse(LPN) CC revealed that he/she is responsible for coding the Minimum Data Set (MDS) assessments and that it was an oversight and therefore a care plan to address the resident's Diabetes Mellitus with insulin coverage was not developed and not addressed. 2. Resident #24 was admitted to the facility on [DATE]. On 6/20/16 the resident was newly diagnosed with [REDACTED]. In addition to the new [DIAGNOSES REDACTED]. The physician also ordered a routine dose of [MEDICATION NAME] to be administered at bedtime and 500 milligrams (mg) of [MEDICATION NAME] be administered twice daily with meals. However, a review of the clinical record revealed that a plan of care had not been developed to address the resident's new diagnosis. Cross reference to F309. 2020-01-01