cms_GA: 4604

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
4604	HABERSHAM HOME	115099	HIGHWAY 441 NORTH, BOX 37	DEMOREST	GA	30535	2015-07-24	166	D	0	1	053U11	Based on family interview, staff interviews, record review and review of the Grievances and Complaints Policy, the facility failed to provide prompt efforts to resolve a grievance for one (1) resident (A) from a sample of twenty-five (25) residents. Findings include: An interview conducted on 7/21/15 at 1:21 p.m. with the daughter of resident A revealed that approximately a week ago, she noticed a large bruise on her mother's stomach and prior to that, she had a large bruise on her right hip. She said she took pictures and reported it to Licensed Practical Nurse (LPN) BB on duty and asked if she knew how the bruises occurred. BB looked at the pictures and stated she had no idea how the bruises were obtained and that nothing had been reported to her. Continued interview revealed that she told BB that she wanted the bruises looked at and wanted to know what happened. Resident A daughter further revealed that it has been a week since she has made the complaint and she has not received any follow up or any explanation as to how the bruises occurred. An interview conducted on 7/22/15 at 3:20 p.m. with both the Director of Nursing (DON) and the Social Worker revealed that they were unaware of any bruises on resident A or any complaints made by the daughter. The Social Worker said there were no documented complaints related to bruising in the Grievance Log. The DON said all Grievances are investigated and followed up with the complainant. The DON said the proper procedure for this complaint should have been an assessment of the bruising and an incident report should have been conducted by the LPN that received the complaint. The DON acknowledged that the proper procedure for documentation and filing a grievance was not followed. The Social Worker said she would immediately file a grievance, resident A would be assessed for bruising and the daughter would be notified. An interview conducted on 7/22/15 at 3:35 p.m. with LPN BB who was on duty at the time the complaint was made revealed that it was the end of her shift when the daughter for resident A came to show her a picture of a large bruise on the resident's lower stomach. BB confirmed the bruise on resident A lower stomach. BB further revealed that she did not file an incident report because she passed it on in report to the night shift nurse and instructed her to report it to the Nurse Supervisor in the morning. BB said she was not aware that this did not take place and she did not document her assessment of the bruise in the nurse's notes nor did she file an incident report. An interview conducted on 7/23/15 at 9:00 a.m. with the DON revealed that a grievance had been filed on 7/22/15. She said resident A had been assessed by both the Nurse Supervisor and the Physician. Further, she spoke with the nurse that relieved LPN BB the evening of the complaint and told her she never received report from LPN BB about the bruising on the resident's stomach. A review conducted of the Progress Notes for resident A dated 7/23/15 at 7:30 a.m. written by the Nurse Supervisor documents a 5.0 centimeter (cm) x 5.0 cm faded light purple/yellow discoloration is present on left lower abdomen. A review conducted of the Grievances and Complaints Policy documents: revealed that Any Resident, Guardian/Representative, or visitor who has a concern regarding resident issue has the right to file a grievance/complaint. Each grievance will be addressed in the following manner. To initiate a grievance/complaint, the resident, guardian/representative or visitor must submit it oral or written form. Any facility representative is entitled to accept a grievance/complaint, but will refer the complainant to the charge nurse for documentation on the grievance/complaint form. This form, along with the resolution form and all other documentation pertaining to the investigation will be maintained in a confidential manner.	2019-08-01