cms_GA: 4662

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.

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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
4662 MACON REHABILITATION AND HEALTHCARE 115362 505 COLISEUM DRIVE MACON GA 31217 2016-04-08 278 B 0 1 J22Q11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and resident and staff interview, the facility failed to ensure that the Minimum Data Set (MDS) assessment was accurate for functional range of motion (ROM) for one (1) resident (C), and antipsychotic medication use for one (1) resident (#61) from a total sample of thirty (30) residents. Findings include: 1. During an interview on 4/5/16 at 8:17 a.m., resident C stated that he had a contracture of his left hand. During an observation on 4/5/16 at 2:31 p.m., the fingers of resident C's left hand were noted to be closed in a fist, with the thumb between the third and fourth fingers. A review of the clinical record revealed the Activity of Daily Living (ADL) care plan documented that the resident had contractures of the left hand. A physician's progress note, dated 12/3/15, documented resident C had contractures. A 4/3/16 Occupational Therapist Progress Note documented that the resident had contractures with limited ROM of the upper and lower extremities, with impaired functional activity tolerance. However, a review of the Quarterly MDS assessment, dated 1/2/16, documented the resident as having no functional limitations to ROM. During interview on 4/6/16 at 1:38 p.m., MDS staff BB stated that she should have coded resident C as having functional limitation in ROM of his upper extremities on the Quarterly MDS assessment due to the hand contractures. 2. Resident #61 had [DIAGNOSES REDACTED]. A review of physician's orders [REDACTED]. However, the Quarterly MDS assessment, with an Assessment Reference Date (ARD) of 2/22/16, documented that the resident had not received an antipsychotic medication. During interview on 4/6/16 at 1:38 p.m., MDS staff BB verified that resident #61 had received an antipsychotic medication for all seven days of the MDS assessment period in February, but she did not code the antipsychotic medication use on the 2/22/16 MDS assessment. 2019-08-01