cms_GA: 44

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
44	BELL MINOR HOME, THE	115020	2200 OLD HAMILTON PLACE NE	GAINESVILLE	GA	30507	2016-11-10	323	D	0	1	M6O611	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and review of policy and procedure, the facility failed to conduct neurological assessments (Neuro Checks) for one (1) resident (R) (R#134) after an unwitnessed fall. The sample was thirty six (36) residents. Findings Include: Review of the facility's Fall Prevention Protocol documented: Action (Step 4) After an incident of a fall, complete the Post Fall Risk Assessment, notify MD and Responsible Party, start Neuro check if there is a suspected head injury or for an unwitnessed fall as per facility Protocol: Record review for R#134 revealed admission to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the Admission Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) summary score of 6, indicating severe cognitive impairment. R#134 was assessed for wandering 1 out of 3 days to a potentially dangerous place. Section G: Functional Status: Activities of Daily Living (ADL) resident requires supervised oversight encouragement or cueing with one person physical assist with bed mobility and transfer. Resident requires limited assistance with one person assist with walk-in room, walk-in corridor, locomotion on unit and locomotion off unit. A Nurse's progress note of 6/24/16 at 11:18 p.m., documented that the resident had a fall in her room resulting with injuries to include a skin tear to her right elbow, and a laceration to her right cheek,secondary to the resident attempting to turn off her light in her bedroom. R#134 confirmed to the staff she fell beside her bed while trying to turn off a light. Staff encouraged the resident to use her call light button when she needed something, staff placed non-skid socks on resident for added safety. Review of the Fall Assessment Note dated 6/25/16 at 02:55 revealed (unwitnessed fall) R#134 had intermittent confusion 1-2 falls in the last 3 months Ambulatory/Continent Adequate (with or without glasses). No noted drop between lying and standing. The care plan has been reviewed and updated per completion of this assessment, family, resident, and MD aware. IDT team to continue review for effectiveness of plan. Reassess per policy. Further record review for R#134 revealed no evidence or documentation of neurological assessments (Neuro checks). During interview with the Director of Nursing (DON) and the Nursing home Administrator on 11/10/16 at 1:45 p.m., both acknowledged there was no documentation of a Neuro checks for R#134 after her fall on 6/24/16. The facility failed to follow it's own Fall Prevention Protocol regarding Neuro checks for R#134 after an unwitnessed fall.	2020-09-01