cms_GA: 54

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
54 BELL MINOR HOME, THE 115020 2200 OLD HAMILTON PLACE NE GAINESVILLE GA 30507 2018-12-06 658 D 0 1 Q9R911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, record reviews, and review of facility policy it was determined the facility failed to the ensure resident's electronic Medication Administration Record [REDACTED]. Findings include: Review of facility policy and procedures titled Medication Administration General Guidelines Section 7.1, Nursing Care Center Pharmacy Policy & Procedure Manual -dated 2007 indicated the following: - The person who prepares the dose for administration is the person who administers the dose - The individual who administers the medication dose, records the administration on the resident's MAR (medication administration record) immediately following the medication being given. - The resident's MAR/TAR is initialed by the person administering the medication, in the space provided under the date, and on the line for that for that specific medication dose administration and time. Initials on each MAR/TAR are verified with a full signature in the space provided or on the nursing care center's master employee signature log. Medication pass observation revealed on 12/3/18 at 10:27 a.m., Licensed Practical Nurse (LPN) KK administer the following medications to R#83: [MEDICATION NAME] 0.5 (anti-anxiety) milligrams (mg) one tablet PO (by mouth); Aspirin 81mg (blood thinner use to prevent [MEDICAL CONDITION] or stroke) one tablet PO; [MEDICATION NAME] 6.25 mg (medication for blood pressure and heart failure) one tablet PO; [MEDICATION NAME] 75mg (anti platelet) one tablet PO; [MEDICATION NAME] 40 mg (blood pressure) one tablet PO; [MEDICATION NAME] 150 mg (antidepressant) tablet PO [MEDICATION NAME] 5 mg (bladder spasms) one tablet PO; Duo Neb ([MEDICATION NAME]-[MEDICATION NAME]) 0.5 mg-3 mg(2.5 mg base)/3 mL nebulization solution used for nebulizer treatment ( a combination of [MEDICATION NAME][MEDICATION NAME] used to treat and prevent symptoms (wheezing and shortness of breath). A review of the eMAR during the medication reconciliation for R#83 revealed the medications that were administered by LPN KK were signed off (initialed) on the by Registered Nurse (RN) BB prior to the preparation and administration of medications by LPN KK. Initials were verified to identify nurse by reviewing the facility nurse Signature List. An interview conducted in the hallway on B Unit on 12/3/18 at 10:45 a.m. with LPN KK confirmed that medication administration for R#83 were initialed as prepared and administered by another nurse. When questioned why the medications were initialed as administered by another nurse, she stated she was training a new nurse. An interview with RN BB on 12/3/18 at 10:55 a.m. on B Unit revealed the RN was newly employed was being trained on medication administration by LPN KK and was directed by LPN to initial that the medication was given to reflect that it was given in a timely manner. Interview was conducted on 12/5/18 at 1:40 p.m. with LPN LL, unit nurse on B Hall. She stated that the time window for administering medications was one hours before and one hour after the prescribed time. She stated that she initialed a resident's medication after administering theprescribed medications Interview was conducted on 12/5/18 at 1:48 p.m. with LPN MM, Charge Nurse on B Hall. LPN MM stated that she initialed a resident's medication after administering the prescribed medications. She would never initial medications that she did not prepare and give to a resident herself. Interview was conducted on 12/6/18 at 4:15 p.m. with the Interim Director of Nursing (DON) in the DON's office. The DON stated the nurse who prepares and administers the medication to a resident is to initial the resident's medication administration record. A Nurse would never sign for another nurse, if prepared and given then sign after administered. 2020-09-01