cms_GA: 6623

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
6623	BONTERRA TRANSITIONAL CARE & REHABILITATION	115555	2801 FELTON DRIVE	EAST POINT	GA	30344	2013-08-28	281	D	0	1	05JI11	Based on medication pass observation, review of facility policy and staff interviews, the facility failed to ensure that appropriate procedure was used when checking for placement and residual of a gastrostomy/peg tube for one (1) resident (#8) from a sample of twenty seven (27) residents. Findings include: Observation of the morning medication pass conducted 8/26/13 revealed that the Licensed Practical Nurse (LPN) FF used ten (10) cubic centimeters (cc) of water to check the placement of the peg tube for resident #8. She did not check for residual. Interview conducted 8/27/13 at 9:30AM with medication nurse FF revealed that the procedure she used to check peg placement was to place a stethoscope on the abdomen, then insert 10cc of water and then listen to hear if water goes into the stomach. FF then indicated she would administered medications and make sure no residual. She indicated that she had been inserviced and instructed to check for placement using 10cc of water. Interview conducted 8/26/13 at 1:30PM with the Director of Nursing revealed as per nursing practice and facility policy the nurse should insert a small amount of air into the tube with the syringe and listen to stomach with stethoscope for gurgling sounds and check residual. She revealed that the nurse should not have inserted 10cc of water into the tube to check for placement. Review of the facility policy for Enteral Tubes revealed that placement of the tube should be checked by inserting a small amount of air into the tube and then with the stethoscope listen to the stomach for gurgling sounds.	2017-11-01