cms_GA: 5870

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

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
5870	GOODWILL HEALTH AND REHAB	115486	4373 HOUSTON AVE.	MACON	GA	31206	2015-10-15	428	D	1	0	7J0Y12	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview the consultant pharmacist failed to identify and report medication irregularities, related to Insulin orders and administration, for one (1) resident (#18) of sixteen sampled residents. Findings include: Review of the physicians order for resident #18 dated 12/1/15 revealed a [DIAGNOSES REDACTED]. Review of the physician's telephone order dated 11/18/15 revealed an order for [REDACTED]. Further review of the November 2015 Medication Administration Record [REDACTED]. Review of the December 2015 physician's orders [REDACTED]. Further review of the December MAR indicated [REDACTED]. Review of the physician orders [REDACTED]. Start Lantus 40 units sq. Review of the Medication Regimen Reviews revealed a medication review was done by the Consultant Pharmacist on 12/1 /15 with no new suggestions documented on the regimen review sheet. During an interview on 12/7/15 at 4:33 p.m. the Consultant Pharmacist stated the December physician's orders [REDACTED]. The Consultant Pharmacist revealed that he/she does a monthly drug regimen review and reviews the physician's orders [REDACTED]. Further interview on 12/9/15 at 11:45 a.m. the Consultant Pharmacist confirmed that when he/she came to the facility on [DATE] he/she would not have identified the Insulin dosage issue because he/she did not have the December physician order [REDACTED]. [REDACTED]. During interview on 12/10/15 at 4:30 p.m. the Associate Director of Nursing (ADON) and Director of Nursing (DON) stated they were not aware the Consulting Pharmacist was not able to review the December physician's orders [REDACTED]. The ADON and DON further revealed that they are the ones who are responsible for the pharmacy recommendations and reports and so they would have been the ones to be notified that the physician's orders [REDACTED]. During further interview on 12/11/15 at 9:30 a.m. the Consultant Pharmacist revealed the DON should have known he/she was not able to review the December physician order [REDACTED].	2018-05-01