cms_GA: 5826

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
5826 WESTBURY CONYERS, LLC 115469 1420 MILSTEAD ROAD CONYERS GA 30012 2015-01-15 247 D 0 1 2C2411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, resident and staff interview, the facility failed to provide documentation that one (1) resident (Q) was notified prior to getting a new roommate on three (3) different occasions. The sample size was twenty-nine (29) residents. Findings include: Interview with resident Q on 01/12/15 at 3:17 p.m., he/she revealed that since they had been admitted to the facility, they have had several different roommates, and was not told beforehand that he/she was getting one. Upon further interview, resident Q revealed that one day he/she was out of their room visiting with a family member, and when they came back to their room, a new roommate had been admitted to their room. Review of resident Q's clinical record revealed that he/she was admitted to the facility on [DATE]. Review of the most recent Quarterly Minimum (MDS) data set [DATE] revealed that he/she had no cognitive deficits. Interview with the Social Services Director (SSD) on 01/15/15 at 8:48 a.m., revealed that either herself or the nurse would tell a resident when they were getting a new roommate. Upon further interview, she stated that they did this as soon as they knew, but sometimes in an emergency it may be at the time of the move. Continued interview revealed that she documented resident notification of new roommates in the Interdisciplinary Progress Notes (IPN) in the resident's clinical record. Review of a list provided by the Admissions Director revealed that three residents had been admitted to resident Q's room on 10/23/14, 11/11/14, and 01/03/15. Review of the IPN for those dates revealed no mention that resident Q had been notified that they would be receiving a new roommate. Interview with the SSD on 01/15/15 at 11:42 a.m., revealed that she would not have made an entry in the IPN in resident Q's clinical record about the three new roommates, as she only notified residents of room to room transfers, and these three residents were new admissions. During interview with Admissions Director at this time, she stated that she verbally told a resident when they were getting a new roommate, but this was not documented anywhere. Interview with Unit Manager GG on 01/15/15 at 11:57 a.m., she stated that nursing may, but it was not their primary responsibility, to notify a resident when they were going to get a new roommate. Upon further interview, she verified that there was no documentation in the clinical record that resident Q was notified that he/she was getting a new roommate on 10/23/14, 11/11/14, or 01/03/15. Review of the facility's Room Change/Roommate Assignment policy and procedure revealed the following: Prior to changing a room or roommate assignment all parties involved in the change/assignment (e.g., residents or their representatives (sponsors)) will be given an advance notice of such change. The notice of a change in room or roommate assignment may be oral or in writing. 2018-05-01