cms_GA: 5958

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
5958 ABBEVILLE HEALTHCARE & REHAB 115623 206 MAIN STREET EAST ABBEVILLE GA 31001 2014-10-23 279 D 0 1 N8EW11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based upon observation, record review and staff interviews the facility failed to develop a care plan for refusal of care for one (1) resident (#99) who refused bathing of forty (40) sampled residents. Findings include: Record review of the Point Click Care, electronic record, for Resident #99 revealed the following Diagnoses: [REDACTED]. Observation on 10/21/14 at 9:50 a.m. and 4:30 p.m. revealed the resident had moderate facial hair, matted and unkept hair and had a body odor of old urine while wearing tan pants, which were dry. An observation on 10/22/14 7:30 a.m. of the resident in bed, wearing pajamas with a continued smell of old urine. Observation on 10/22/14 at 12:50 p.m. revealed the resident ambulating in the hallway, wearing four (4) shirts, was not shaved and continued to have a strong urine odor. An observation on 10/23/14 at 8:40 a.m. of the resident sitting in the smoking area revealed the resident was clean shaven, hair neatly combed and not matted and did not smell of urine. An interview with Certified Nursing Assistance (CNA) BB on 10/23/14 at 9:00 a.m. revealed that she had bathed the resident yesterday which was the first time in one week she had been assigned to this resident. Review of the facility bathing schedule reveals the resident is to be bathed/assisted on Monday, Wednesday and Friday's. Review of the electronic CNA charting Documentation Survey Report confirmed that on 10/22/14 the resident received a bath. Further review revealed that on 10/6, 8, 10, 17 and 20/2014 the resident was coded with 8/8 which per the Code Assessment for Point Click Care reveals the care was not given. Review of the Quarterly Minimum Data Set ((MDS) dated [DATE] and 5/24/14 revealed the resident had no behaviors of refusing care during the look back period. The resident was assessed on the Quarterly MDS dated [DATE] on the Brief Mental Interview of 4 indicating the resident has severe cognitive impairment. A telephone interview with the Director of Nursing (DON), Licensed Practical Nurse KK and the Administrator during Quality Assurance review on 11/4/14 at 4:10 p.m. revealed that the 8/8 coding on the bathing CNA check list means that the care was not given and that the staff does not have the option to for checking the resident refused the bath. They both say the resident did refuse his bath on those days but there is no written evidence of the refusal. The facility was asked for a copy of the resident Care Plan. A telephone interview with the Administrator, during the QA process, on 11/5/14 at 12:02 p.m. to review the resident's care plan revealed that there is no care plan for refusal care or bathing. She agrees that it should have been care planned for this residents. 2018-05-01