cms_GA: 62

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
62 WILLIAM BREMAN JEWISH HOME, THE 115022 3150 HOWELL MILL ROAD N.W. ATLANTA GA 30327 2018-02-08 758 D 0 1 G4GK11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to indicate the need to extend orders for as needed (PRN) antianxiety medications for two residents (R#31 and R#25) beyond 14 days, and failed to document the reason for the extension or the period during which the extended order should be in effect. The sample size was 22 residents. Findings include: Review of the clinical records for Resident (R) #31 revealed she was admitted to the facility with [DIAGNOSES REDACTED]. Review of a Significant Change Minimum Data Set (MDS) assessment of 11/21/17 revealed the resident had evidence of mood symptoms, behaviors directed at others occurred 1-3 days during the assessment period, had active [DIAGNOSES REDACTED]. Review of the most recent physician order [REDACTED]. Further review of the clinical records for R#31 revealed no documentation that the PRN anxiolytic should continue beyond 14 days, the period during which it should be continued, or a rationale for its continued use. Interview with the Medical Director on 2/08/18 at 2:37 p.m. revealed the resident has had significant trauma in recent months and was placed on hospice soon after admission due to declining health. The resident has since been discharged from hospice, but continues to experience anxiety and needs the antianxiety medication on an as needed basis. He was not aware that he should have documented the ongoing need for this medication, but will do so going forward. 2. Review of clinical record for Resident (R) #25 revealed he 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 15, which indicates no cognitive impairment. Review of (MONTH) (YEAR) Physician order [REDACTED].#25 was prescribed Klonopin 0.5 milligrams (mg) at bedtime as needed (PRN) for anxiety, with original order date of 8/8/17. Further review of the PO did not indicate that the use of the PRN medication had been re-evaluated by the physician, for continued use. Interview on 2/8/18 at 1:58 p.m., with Medical Director, stated that he has not been evaluating the continued need for PRN antipsychotic medications. He stated that if he wrote an order for [REDACTED]. He stated he has not been addressing orders for PRN antipsychotic's, but will start, because the government regulations have changed. 2020-09-01