cms_GA: 61

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
61	WILLIAM BREMAN JEWISH HOME, THE	115022	3150 HOWELL MILL ROAD N.W.	ATLANTA	GA	30327	2018-02-08	656	D	0	1	G4GK11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and staff interview the facility failed to follow the care plan for one resident (R) #47 related to not placing a fall mat at the bedside post fall on 1/9/18. The sample size was 22 residents. Findings include: A review of the clinical record for R#47 revealed resident was admitted to the facility with [DIAGNOSES REDACTED]. The resident's most recent Minimum Data Set ((MDS) dated [DATE], revealed a Brief Interview for Mental Status (BIMS) was coded as two, which indicated cognitive impairment. Review of the care plan dated 1/9/18, revealed that R#47 had impaired physical mobility related to a fall from the bed. Interventions to be implemented included bed in low position and fall mat at bedside. Observation on 2/7/18 at 12:05 p.m., 2/8/18 at 9:19 a.m. and 2/8/18 at 4:11 p.m. revealed no fall mat at bedside, nor stored in the closet or under the bed. A review of facility policy titled Fall Management Program with effective date (MONTH) 25, 2010, revealed that the date and time of each fall and new intervention will be added to the care plan. Interview on 2/8/18 at 2:51 p.m., with Licensed Practical Nurse (LPN) AA, revealed that the procedure for when residents have a fall is to do a complete head to toe assessment, assessing for any injuries. She then notifies the Shift Supervisor, the residents Physician and family member. The residents nurse and the Supervisor discuss possible interventions and collaborate together what intervention is best suited for the situation. Supervisor inputs the intervention into electronic medical record (EMR) and the floor nurse is responsible for follow-up on implementation. She further stated the residents are observed for 72 hours post fall. She stated she did not know why R#47 didn't have a fall mat at the bedside. Interview on 2/8/18 at 4:06 p.m., with Assistant Director of Nursing, revealed that she and the floor Charge Nurse confer together discussing possible interventions to put in place after residents experience a fall. She further revealed that it is the facility's policy to implement interventions after each fall. She stated that when fall mats are ordered, the Certified Nursing Assistant (CNA) or the Charge Nurse are responsible for getting floor mats and placing them at bedside.	2020-09-01