cms_GA: 57

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
57 BELL MINOR HOME, THE 115020 2200 OLD HAMILTON PLACE NE GAINESVILLE GA 30507 2017-12-14 561 D 0 1 4OSS11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, review of the policy titled Resident Rights Policy, resident and staff interviews, the facility failed to ensure one of 29 sampled residents (R B) right to self-determination. Specifically, R B was told by staff that she was not allowed to have a peanut butter sandwich for a snack unless there was jelly on it. R B stated she told the staff she does not like jelly and she should be allowed to eat what she wants. Findings include: Review of the policy titled Resident Rights Policy revised 8/22/17 documented that the resident has the right to self-determination. The resident has the right to exercise his or her rights as a resident of the facility. Record review for R B revealed an Annual Minimum Data Set (MDS) assessment dated [DATE] which documented a Brief Interview for Mental Status (BIMS) summary score of 14, indicating no cognitive impairment. Resident B was assessed as not having a swallowing disorder or dental conditions. Section F- Preferences for Customary Routine and Activity assessed that it is very important to R B to have snacks between meals. During an interview with R B on 12/11/17 at 3:10 p.m. she stated that she loves peanut butter sandwiches but the staff always put jelly on it. Resident B stated that when she asks the Certified Nursing Assistants (CNA), they tell her they cannot just make a peanut butter sandwich. Resident B stated they tell her they have to put jelly on it. Resident B stated she has told the staff she does not like jelly and they put way too much on it! Resident B stated that she should get to eat what she wants and what she likes. Interview on 12/13/17 at 1:50 p.m. with the Dietary Supervisor (DS) revealed the dietary staff deliver pre-made sandwiches to the resident pantry three times a day for snacks. She stated typically they always have peanut butter and jelly, pimento cheese, bologna, ham, and turkey sandwiches for snacks. The DS stated that if a resident asks for just a peanut butter sandwich they are not allowed to serve that. She stated the peanut butter sandwich has to have jelly on it. The DS stated this is not a written policy but it has been ordered by the Administrator because of choking hazard. The DS stated that they are supposed to honor the resident's preferences and choices. She stated this rule comes directly from the Administrator and was not a recommendation by the Registered Dietician. The DS stated this has been the rule for year and years. Interview on 12/13/17 at 2:18 p.m. with the Administrator revealed the Medical Director nor the Registered Dietician ever recommended to her that they should not be allowed to serve the residents a peanut butter sandwich without jelly on it, nor have they told her it was a choking hazard. The Administrator stated that [AGE] years ago, she had a personal experience in which a resident choked on a peanut butter sandwich and it just has scared her really bad. She stated it's just something she ordered for resident safety, not to restrict anyone from having what they want. 2020-09-01