cms_GA: 4864

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
4864	A.G. RHODES HOME WESLEY WOODS	115002	1819 CLIFTON ROAD, N.E.	ATLANTA	GA	30329	2016-05-13	278	E	0	1	L11S11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and staff interview, the facilty failed to ensure that the Minimum Data Set (MDS) accurately reflected the dental status for one (1) resident (#158) and failed to accurately assess for the use of a diuretic for six (6) residents (#45, # 59, #78, #109, #121, #156, and #209). The sample size was forty-two (42) residents. Findings include: 1. During observations on 05/10/16 at 12:43 p.m. and 05/11/16 at 8:11 a.m., of resident #158, the resident was noted to be edentulous and have no dentures in place. Review of an Oral assessment dated [DATE] noted that the resident had no natural teeth or tooth fragments (edentulous). Review of a Dentist's Progress Notes dated 06/15/15 noted the resident was edentulous. Review of a Significant Change MDS dated [DATE] noted that the resident was assessed as having no dental issues. An interview with MDS Coordinator AA on 05/12/16 at 3:12 p.m., she verified that the Dental section of the MDS, dated [DATE], was not accurately assessed, as the resident was edentulous. 2. Record Review of the Order Summary for resident #209 dated 4/1/2016 revealed the resident had a physician's orders [REDACTED]. [MEDICATION NAME] HCL is a [MEDICATION NAME]. Review of the Admission MDS assessment dated [DATE], Section N, revealed the resident was assessed for diuretic use for seven (7) days, although there was no evidence the resident was on a diuretic. 3. Record Review of the Order Summary for resident #121 dated 2/26/2016 revealed the resident had a physician's orders [REDACTED]. [MEDICATION NAME] HCL is a [MEDICATION NAME]. Review of the Quarterly MDS assessment dated [DATE], Section N, revealed the resident was assessed for diuretic use for seven (7) days, although there was no evidence the resident was on a diuretic. 4. Record Review of the Order Summary for resident #59 dated 3/1/2016, 12/1/2015 and 9/1/15 revealed the resident had a physician's orders [REDACTED]. [MEDICATION NAME] HCL is a [MEDICATION NAME]. Review of the Quarterly MDS assessment dated [DATE], 12/10/2015 and 9/18/2015, Section N, revealed the resident was assessed for diuretic use for seven (7) days, although there was no evidence the resident was on a diuretic. 5. Record Review of the Order Summary for resident #109 dated 2/1/2016, 4/1/2016 revealed the resident had a physician's orders [REDACTED]. [MEDICATION NAME] HCL is a [MEDICATION NAME]. Review of the Quarterly MDS assessment dated [DATE] and 4/26/16, Section N, revealed the resident was assessed for diuretic use for seven (7) days, although there was no evidence the resident was on a diuretic. 6. Record Review of the Order Summary for resident #45 dated 4/1/2016 revealed the resident had a physician's orders [REDACTED]. [MEDICATION NAME] HCL is a [MEDICATION NAME]. Review of the Admission MDS assessment dated [DATE], Section N, revealed the resident was assessed for diuretic use for seven (7) days, although there was no evidence the resident was on a diuretic. 7. Record Review of the Order Summary for resident #156 dated 4/1/2016 revealed the resident had a physician's orders [REDACTED]. [MEDICATION NAME] HCL is a [MEDICATION NAME]. Review of the Quarterly MDS assessment dated [DATE], Section N, revealed the resident was assessed for diuretic use for seven (7) days, although there was no evidence the resident was on a diuretic. 8. Record Review of the Order Summary for resident #78 dated 3/1/2016 and 12/1/15 revealed the resident had a physician's orders [REDACTED]. [MEDICATION NAME] HCL is a [MEDICATION NAME]. Review of the Quarterly MDS assessment dated [DATE] and 12/24/2015 , Section N, revealed the resident was assessed for diuretic use for seven (7) days, although there was no evidence the resident was on a diuretic. An interview on 5/12/16 at 2:03 p.m. with Registered Nurse (R.N.), MDS Coordinator AA and R.N. BB Nurse Consultant revealed that MDS Coordinator AA felt the residents (#45, 59, 78, 109, 121, 156 and 209) were on a diuertic during this time frame. Registered Nurse (R.N.) BB contacted consultant pharmacisit CC whom confirmed that [MEDICATION NAME] HCL is not a diuretic. R.N. AA revealed at this time that the residents were assessed incorrectly for diuretic use.	2019-04-01