cms_GA: 4281

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
4281 SOUTHWELL HEALTH AND REHABILITATION 115655 260 MJ TAYLOR ROAD ADEL GA 31620 2016-07-01 329 D 0 1 0GTS11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview it was determined that the facility failed to monitor for targeted behaviors for two (2) residents (#43 and #115) who were receiving antipsychotic medications from a total sample of forty two (42) residents. Findings include: 1. Resident #43 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the medical record revealed the physician ordered for the resident to receive [MEDICATION NAME] 2.5 mg by mouth two (2) times every day. Review of the Medication Administration Record [REDACTED]. However, there was not any documentation that the licensed nursing staff were monitoring the resident for any targeted behaviors. 2. Resident #115 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the medical record revealed the physician had ordered [MEDICATION NAME] 0.25 mg by mouth two (2) times every day. Review of the (MONTH) (YEAR) MAR indicated [REDACTED]. However, there was not any documentation that the licensed nursing staff was monitoring the resident for any targeted behaviors. Interview on 06/30/16 at 2:10 p.m. with the Director of Nursing (DON) revealed there should have been a Behavioral Monitoring Form in the MAR for the Licensed Nursing staff to document behaviors of residents receiving an antipsychotic medication. The DON stated that the Behavioral Monitoring form was a hand written form and the Licensed Practical Nurse (LPN) caring for the resident was responsible for placement of the behavioral monitoring form in the MAR book. The DON revealed that the licensed nursing staff were to document every shift any behaviors for residents that receive an antipsychotic medication. He/she confirmed that the nursing staff had not been documenting the resident's behaviors for both resident #43 and #115. Interview on 06/30/16 at 2:25 p.m. with LPN LL , he/she stated that the Behavioral Monitoring form was typically placed in the MAR book by the Registered Nurse (RN) Supervisor. The LPN stated that if the Behavioral Monitoring form was not in the MAR book the LPN was to place the form in the MAR book. He/she stated that blank forms are found in the file cabinet at the nurses station. During continued interview the LPN stated that even though, he/she had cared for both residents #43 and #115 the past several days, he/she had not put the forms in the MAR because it had never crossed his/her mind. The LPN stated that he/she did not realize that the Behavioral Monitoring forms were not in the MAR. The LPN stated that he/she remembered attending an in-service regarding antipsychotic medication in the past. However, he/she stated that he/she did not recall what was discussed at the inservice. Interview on 06/30/16 at 3:10 p.m. with the RN Supervisor revealed that usually he/she placed the Behavioral Monitoring forms in the MAR book. The RN Supervisor further revealed that placing the Behavioral Monitoring sheet in the MAR indicated [REDACTED]. 2020-01-01