cms_GA: 6785

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
6785	MAGNOLIA MANOR OF ST SIMONS REHAB & NURSING CENTER	115582	2255 FREDERICA ROAD	SAINT SIMONS ISLAND	GA	31522	2013-02-14	282	G	0	1	NIB111	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff interviews, it was determined that the facility failed to address signs of pain and provide pain management as described in the Plan of Care during the provision of pressure sore and wound treatment for one resident (#112) of three residents with pressure ulcers, and to implement interventions for the potential for nutritional impairment for one resident (#37) in a total sample of 38 residents. This failure resulted in actual harm that was not immediate jeopardy for resident #112. Findings include: 1. Resident #112 was admitted into the facility in September of 2011 with [DIAGNOSES REDACTED]. Review of the documentation on the Licensed Nurse Skin Assessments dated September of 2012 revealed that resident #112 had no wounds/pressure ulcers. Licensed nursing staff documented on the October, 2012 skin assessment that the resident had red areas in his/her groin and small open areas. On the November 26, 2012 skin assessment, the licensed nurse documented that there was a black area on the right heel and treatment in progress to the scrotum folds. On January 23, 2013 the nurse documented that resident #112 had deep tissue injury on the right heel. There was a care plan, updated on 11/21/2012, to address his/her alteration in skin integrity/pressure ulcer. Pressure ulcer to right medial heel (Deep Tissue Injury). There was an intervention to observe for pain and treat as ordered. The goal included to reduce pain and discomfort. However, during an observation of pressure ulcer wound care and care to the ulcers in the resident's groin area on 02/12/13 at 2:28 p.m., the resident cried out in pain but, the nurse failed to intervene and treat the pain. See F314 for additional information regarding resident #112. 2. Resident #37 had a care plan since 11/06/12 to address his/her potential for nutritional impairment. There were interventions for staff to determine the resident's food preferences and provide as feasible, and to provide health shakes three times a day with meals. However during an observation of the resident's meals on 2/12/13 at 12:45 p.m., and on 2/13/13 at 8:50 a.m. and 12:50 p.m., the resident was not served a health shake. Review of the Diet History/Food Preference List form revealed that the form was blank. See F325 for additional information regarding resident #37.	2017-10-01