cms_GA: 6784

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

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rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
6784	MAGNOLIA MANOR OF ST SIMONS REHAB & NURSING CENTER	115582	2255 FREDERICA ROAD	SAINT SIMONS ISLAND	GA	31522	2013-02-14	281	D	0	1	NIB111	Based on observation, review of the facility's Procedural Guidelines for the administration of feedings and medications via gastrostomy tube, and staff interview, it was determined that the facility failed to ensure that licensed nursing staff verified placement of a gastrostomy tube prior to the administration of medications for one resident (#80) from a sample of 38 residents. Findings include: According to the facility's Procedural Guidelines for the safe administration of tube feedings and administration of medication via gastrostomy tube, nursing staff were supposed to verify placement of the gastrostomy tube prior to medication administration or feeding by instilling air into the gastric tube and auscultating for the sound of rushing air by placing a stethoscope over the stomach. However, licensed nurse CC failed to verify placement of the gastrostomy tube with air prior to medication administration for resident #80. On 2/14/13 at 8:10 a.m., during observation of medication administration for resident #80, licensed nurse CC inserted the syringe into the resident's gastrostomy tube and pulled back on the plunger to check for residual. There was no residual in the syringe. Nurse CC then removed the plunger and flushed the resident's gastrostomy tube with 50 cubic centimeters (cc) of water followed by the medications. However, CC failed to verify placement of the gastrostomy tube by inserting air into the tube and auscultating for air prior to the administration of the water flush and medications. Nurse CC stated, at that time, that the nurse on the previous shift had checked the resident's gastrostomy tube for placement at 6:00 a.m. and had told her that there were no problems. On 2/14/12 at 9:50 a.m., licensed nurse DD stated that staff were supposed to verify placement of the gastrostomy tube with air prior to the administration of any medications or feedings. Nurse DD' stated that she/he would verify placement herself/himself and not rely on another staff member's verification.	2017-10-01