cms_GA: 6560

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
6560	PARK PLACE NURSING FACILITY	115005	1865 BOLD SPRINGS ROAD	MONROE	GA	30655	2013-06-27	431	E	0	1	DT4T11	Based on observations, staff interviews and review of facility policy, the facility failed to ensure that expired medications and/or medications not labeled when opened were removed from three (3) of six (6) medication carts on three (3) of six (6) units (B, D and E) and two (2) of two (2) medication rooms. Also, the facility failed to ensure that one (1) of the six (6) medication carts was locked when unattended during medication pass. Findings include: 1. Observations of the medication carts on 6/26/13 beginning at 7:02 a.m. revealed the following concerns: -D-hall medication cart- there were three (3) out of six (6) bottles of Insulin, including Humalog and Levemir, that had no date when opened on either the box nor the bottle. Interview on 6/26/13 at 7:02 a.m., Licensed Practical Nurse (LPN) BB acknowledged that the Insulin should have been dated when opened and written on the label on the box. -B-hall medication cart-there was an eight (8) ounce bottle of CertaVite liquid that was labeled as opened 6/21/13 but the bottle had an expiration date of 4/13. -E-hall medication cart-there was one (1) bottle of Vitamin D 400 International Unit (IU) one hundred (100) tablets, labeled opened 9/30/12 and with an expiration date of 4/13; one (1) sixteen (16) ounce bottle of Cherry flavored Acetaminophen liquid, 160 milligrams per 5 milliliters, with an expiration date of 10/12 and floor stock of Novolin R, labeled with an opened date of 5/10/13. Interview with LPN DD, during observation on medication cart on the E-hall, on 6/26/13 at 8:47 a.m., revealed that Insulin is good for twenty-eight (28) days after opened, and concurred that the expired medications should not have been on the medication cart. Interview with Unit Manager FF on the E-hall on 6/26/13 at 9:05 a.m.,revealed that none of the expired medications should have been on the medication carts. 2. Observation of the medication room on the E-F hall on 6/26/13 at 9:05 a.m. with the Unit Manager FF revealed the following: one (1) unopened bottle of one hundred (100) tablets of Vitamin D 400 IU, which expired 4/13; one (1) bottle of unopened one hundred (100) tablets of Vitamin B12 100 micrograms, which expired 3/13; one (1) opened bottle of one hundred eighty (180) capsules of Glucosamine & Chondrointin, which expired 4/13; one (1) unopened eight (8) ounce bottle of Certa Vite, which expired 4/13 and one (1) unopened sixty (60) tablet bottle of Antioxidant Vitamins, expiring 3/13. Interview with the Unit Manager, during observation in the medication room E-F hall, on 6/26/13 at 9:05 a.m., she acknowledged that the medications were expired. 3. Observation of the A-D hall medication room on 6/26/13 at 9:20 a.m. with the Director of Nursing (DON) revealed the following: one (1) unopened bottle of one hundred (100) tablets of Magnesium 500 milligrams with an expiration date of 1/13. Interview, during observation in the A-D medication room with the DON, on 6/26/13 at 9:20 a.m., she acknowledged that the medication was expired. Review of the Policy and Procedure: Medication Storage in the Facility revealed outdated, contaminated, or deteriorated medications and those in containers that are cracked, soiled, or without secure closures are immediately removed from stock. 4. Observation of LPN GG on the the C-hall during medication pass on 6/25/13 at 7:28 a.m., revealed that the medication cart was left unlocked and unattended by the LPN, in the hallway. Continued observation revealed that there was one (1) housekeeping staff and one (1) resident in a wheelchair in the immediate area. Interview with LPN GGon 6/25/13 at 8:01 a.m., acknowledged that the medication cart should be locked. Review of the facility policy on medication storage in the facility revealed that the medication rooms, medication carts, and/or medication supplies are to be locked and/or attended by persons with authorized access.	2017-11-01