cms_GA: 63

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
63 WILLIAM BREMAN JEWISH HOME, THE 115022 3150 HOWELL MILL ROAD N.W. ATLANTA GA 30327 2018-02-08 761 D 0 1 G4GK11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and policy review, the facility failed to ensure medications were dated appropriately when opened to determine the discard date, in one of two medication carts; and failed to discard expired biological's and medical supplies prior to expiration date in one of two medication storage rooms. The sample size was 22 residents. Findings include: 1. Observation on 2/6/18 at 4:25 p.m., third floor medication cart revealed one opened and used [MEDICATION NAME] respiratory inhaler. The inhaler had a sticker from the pharmacy that indicated the medication should be discarded 90 days after opening. The inhaler did not have a date when opened. Further observation, on the same medication cart, was [MEDICATION NAME] Propionate liquid, approximtely 1/2 of 16 ounce bottle, with expiration date of 12/17. 2. Observation on 2/6/18 at 4:25 p.m., in the third floor medication storage room revealed two catheter irrigation trays with expiration date of 1/18. 3. During medication pass on 2/7/18 at 12:28 p.m., with Licensed Practical Nurse (LPN) AA, revealed an opened multiple-dose vial of [MEDICATION NAME] Insulin with opened date of 1/2/18. A label on the vial read discard after 28 days. Review of the facility policy titled, Pharmacy Services and Procedures policy, revised (MONTH) 2013, indicated that the facility should ensure that medications and biological's have an expiration date on the label and have not been retained longer than recommended by the manufacturer or supplier. The policy further indicated the facility should record the date opened on the medication container when the medication has a shortened expiration date once opened. Review of the policy titled, Recommended Minimum Medication Storage Parameters, revised (MONTH) 29, (YEAR), indicated that multiple-dose vials for injection, are to be dated when opened and discard unused portion after 28 days or in accordance with manufacturer's recommendations. The parameters for [MEDICATION NAME] Inhalation Spray, indicated after initial priming, discard after 120 sprays or three months after first use. Interview on 2/6/18 at 4:25 p.m., Licensed Practical Nurse (LPN) AA stated that she doesn't know when the inhaler was opened. She stated that she puts open dates on all the medications that she opens. She stated that each of the med nurses are supposed to check the medication carts and storage rooms daily for expired medications and supplies. Interview on 2/7/18 at 12:40 p.m., LPN AA stated the policy for opened injectable medications is 30 days. She verified the opened bottle of [MEDICATION NAME]had 1/2/18 open date and the pharmacy sticker indicated to discard 28 days after opening. 2020-09-01