cms_GA: 4909

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
4909 AUTUMN BREEZE HEALTH AND REHAB 115580 1480 SANDTOWN ROAD SW MARIETTA GA 30008 2015-09-24 309 D 0 1 YH7R11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on resident observations, record review, and staff interviews it was determined that the facility failed to follow a physician order [REDACTED]. Findings Include: Observation on 9/22/2015 at 1pm with resident #17 during lunch in the dining room revealed no ice cream, yogurt or health shake on the resident ' s tray and observation on 9/23/2015 at 1pm with resident #17 during lunch in the dining room revealed no ice cream, yogurt or health shake on the resident ' s tray. Record review revealed a physician order [REDACTED]. Review of facility policy dated (MONTH) 2000 revealed that diet orders will be conveyed in writing via a diet change form to the dietary department. Review of dietary cards for resident #17 revealed that no supplements were indicated for the lunch tray for 9/23/2015. Review of dietary progress notes dated 7/15/2014 indicate adding another health shake on dinner tray, dated 10/7/2014 indicates supplemented with health shake, dated 12/30/2014 indicates health shake twice daily, dated 4/7/2015 indicates reducing health shake to daily, dated 7/7/2015 indicates no nutritional concerns, and dated 7/15/2015 indicates add another health shake on dinner tray. The Registered Dietitian Nutritional recommendations dated 7/15/2014 indicate weight decreased - health shake on lunch and dinner tray, and dated 4/21/2015 indicate weight gain - discontinue health shake twice daily and start health shake daily on lunch tray. Staff interview on 9/23/2015 at 1:15pm with Dietary Manager revealed that resident #17 did not receive a health shake, yogurt or ice cream on her tray for lunch on 9/23/2015. When further questioned about the order for a health shake, yogurt and ice cream on the resident ' s tray at lunch she indicated that the order had been changed to a health shake on the lunch tray, however when further questioned she could not produce an order indicating that change. Interview on 9/23/2015 at 2pm with the Registered Dietitian revealed that the resident should have been getting the health shake, yogurt and ice cream on her lunch tray. #2 Per medical record review a physician order [REDACTED]. Physician order [REDACTED]. Observation conducted on 09/23/15 at 2:25 p. m., by surveyor accompanied by Licensed Practical Nurse (LPN) FF revealed, foley bag covered, and draining clear yellow urine. Foley bag was labeled with a dark orange sticker reflecting the date the foley bag and catheter was placed which was 07/20/15 at 10:30 a. m., prior to resident #12's admission. As of 09/23/15 resident #12 had been in the facility for fifty-eight (58) days and the foley catheter has not been changed as ordered. Interview was conducted on 09/23/15 at 2:25 p. m., with LPN FF who acknowledged that the TAR did not reflect documentation of the resident ' s foley being changed since admission. Interview conducted with the Director of Nursing (DON) on 09/23/15 at 2:35 p. m. DON acknowledged that the TAR did not reflect that the foley had been changed. She stated her expectation is that the staff follow the physician orders [REDACTED]. 2019-04-01