cms_GA: 5512

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
5512	PLACE AT MARTINEZ, THE	115308	409 PLEASANT HOME ROAD	AUGUSTA	GA	30907	2015-02-06	156	B	0	1	UZN611	Based on record review and staff interview, the facility failed to ensure that two (2) of three (3) Skilled Nursing Facility Advanced Beneficiary Notices (SNFABN) for residents #54 and #104 were properly completed, and failed to provide one (1) resident (#54) with the SNFABN when they were discharged off Medicare Part A services and remained in the facility. A total of three (3) residents were reviewed for the issuance of the proper liability and appeal notices. The sample size was thirty-six (36) residents. Findings include: 1. Review of the Notice of Medicare Provider Non-Coverage (Generic Notice) for resident #104 revealed that he was discharged from Physical Therapy (PT) and Occupational Therapy (OT) on 11/03/14, and the resident remained in the facility. Review of both this Notice and the SNFABN revealed that the forms were not signed by the responsible party (RP) until 11/04/14. In addition, the section on the SNFABN for the RP to indicate whether or not they wanted the resident to continue to receive skilled services was left blank, so that there was no indication that they knew of and understood their right to do so. 2. Review of the Medicare Notices for resident #44 revealed that she was discharged from PT on 01/01/15, and the Generic Notice and SNFABN were signed by the RP on 01/08/15, seven days after skilled services ended. Further review of the Notices revealed that resident #54 was discharged from OT on 01/12/15. Review of the SNFABN's revealed that the section for the RP to indicate that they were aware of their right to continue the skilled services was blank. Further review of the Notices revealed that the resident was discharged from Speech Therapy (ST) on 01/19/15 and remained in the facility, and the only Notice issued was the Generic Notice. Review of this Generic Notice revealed that it was signed by the RP on 01/22/15, three days after the skilled services ended. During interview with the Social Services Director (SSD) on 02/04/15 at 2:25 p.m., she stated that she recently received training on how to complete the required Notices when a resident was discharged from skilled services, and that it was her understanding that only the Generic Notice had to be provided when services ended and the resident remained in the facility. Upon further interview, she stated that 48 to 72 hours before a resident came off skilled services, she would notify the RP. She further stated that if the RP visited the facility frequently, she did this notification by telephone, and then had the RP sign the form(s) when they visited. Upon further interview, she verified that there was no documentation that she called resident #54 and #104's RP's and explained the purpose of the forms, and their right to appeal the decision. The SSD verified that the SNFABN's had not been completed to indicate if the RP did or did not want to continue the services. During interview with the Administrator on 02/04/15 at 3:20 p.m., she stated that they clarified which Notices had to be provided for a resident that came off skilled services and remained in the facility with benefit days remaining, and were told that both the Generic and SNFABN should be issued.	2018-08-01