cms_GA: 6494

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.

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
6494 CORDELE HEALTH AND REHABILITATION 115429 1106 NORTH 4TH STREET CORDELE GA 31015 2014-02-13 328 D 0 1 01DX11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and staff interviews the facility failed to ensure that oxygen therapy equipment was maintained in a sanitary manner for three (3) residents (#14, #22, #36) receiving continuous oxygen therapy for four of four (4/4) days of the survey from a sample of twenty-eight (28) residents. There were thirteen (13) residents in the facility that received oxygen therapy, eight (8) of the thirteen (13) residents received continuous oxygen therapy daily. Findings include: Review of the clinical record for Resident # 14 reveals the resident is a seventy-one (71) year old long term care resident with a [DIAGNOSES REDACTED].@ 2L/min) via nasal cannula (N/C). Observation of resident # 14 on 02/10/14 at 2:06 p.m. revealed the resident lying in bed with (O2) therapy by N/C in progress, the tubing was observed lying beside her on the bed, no respiratory distress observed. The O2 concentrator was located on the floor next to the bed set to 2L/min. The filters located on both sides of the concentrator were covered in lint. The nebulizer machine was located on top of her personal refrigerator; the mask and tubing were bagged. Observation of resident # 14's room on 02/11/14 at 11:00 a.m. revealed that the resident was out to her [MEDICAL TREATMENT] treatment. The oxygen concentrator was observed on the floor next to the bed. The air filters located on both sides of the concentrator was covered in lint. The nebulizer equipment was bagged at the bedside. Observation of resident # 14 on 02/11/14 at 3:30 p.m., in her room the resident had just returned from [MEDICAL TREATMENT] and was being cared for by staff. The resident appeared tired with O2 therapy via n/c in place. The oxygen concentrator filters were still dirty and covered in lint. Observation of resident # 14 on 02/12/14 at 10:00 a.m. revealed the resident well groomed with her hair combed lying in bed. The oxygen tubing n/c was observed under her chin, not in her nose, no labored breathing, or respiratory distress was observed. The oxygen concentrator filters were observed to be still dirty, and covered in lint. Observation of resident # 14 on 02/13/14 at 9:30 a.m., asleep in bed with O2 therapy in progress by n/c., the distilled water bottle was dated 02/09/14. The nebulizer equipment was bagged, and sitting on top of the bedside refrigerator, the oxygen concentrator filters on both sides of the machine were still dirty and covered in lint. An interview with the Director of Nursing (DON) on 02/13/14 at 9:45 a.m., in the resident ' s room, she confirmed that the oxygen filters were dirty, and should have been cleaned on Sunday by the weekend Supervisor. The DON further revealed that all oxygen tubing, nebulizers, masks, and the distilled water bottles are changed every Sunday, and the machines and air filters are cleaned every Sunday by the Weekend Supervisor. The DON further revealed that it was her expectation that the staff would clean the oxygen equipment per facility policy. Observation of resident #22 on 02/13/14 at 10:00 a.m., revealed the resident resting in bed with O2 in progress by n/c. The O2 concentrator machine was at the bedside, the one (1) air filter was located in the back of the machine and was observed to be dirty with lint balls covering the filter. Observation of resident #36 on 2/13/14 at 10:05 a.m. revealed the resident receiving O2 therapy while lying in bed with O2 therapy in progress by n/c. The O2 concentrator machine was on the floor at the bedside the air filters were dirty and covered with lint. An interview with Licensed Practical Nurse (LPN) EE on 02/13/14 at 10:20 a.m. revealed that she had recently noticed that air filter for resident # 22 was dirty and needed to be cleaned. Review of the Oxygen Administration Policy revised 05/01/12 revealed that the filter should be washed with soap and water at least monthly and PRN (as needed). Dry with a towel and reinsert. Do not discard unless it is damaged. 2017-12-01