cms_GA: 6788

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
6788 MAGNOLIA MANOR OF ST SIMONS REHAB & NURSING CENTER 115582 2255 FREDERICA ROAD SAINT SIMONS ISLAND GA 31522 2013-02-14 325 D 0 1 NIB111 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, and record review, it was determined that the facility failed to implement planned interventions to address a continued weight loss and a potential for nutritional impairment for one resident (#37) in a total sample of 38 residents. Findings include: Resident #37 had [DIAGNOSES REDACTED]. There was a 2/02/13 physician's orders [REDACTED]. There was a care plan since 11/26/12 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 supplements as ordered. Review of the Weight Flow Sheet documentation revealed the resident had a significant weight loss of 17.4% in five months from 9/11/12 at 178 pounds (lbs.) to 147 lbs. on 2/08/13. Staff documented that the resident weighed 178 lbs. on 9/11/12, 170 lbs. on 9/17/12, 168 lbs. on 10/8/12, 161 lbs. on 11/17/12, 153 lbs. on 12/10/12, 152 lbs. on 1/07/13, 150 lbs. on 1/14/13 and 1/25/13, 149 lbs. on 1/31/13, and 147 lbs. on 2/08/13. However, during observations of meals served to the resident on 2/12/13 at 12:45 p.m., and on 2/13/13 at 8:50 a.m. and 12:50 p.m., staff did not serve him/her a Health Shake. A review of the list of residents that received Health Shakes, provided by the dietary manager on 2/13/13, revealed that resident #37 was not on the list to receive Health Shakes. During an interview on 2/13/13 at 1:50 p.m., the Director of Nurses (DON) confirmed that the resident should have received Health Shakes with meals. A review of the Diet History/Food Preference form revealed that it was blank. Staff had not determined the resident's food preferences as planned since 11/26/12. During an interview on 2/13/13 at 1:50 p.m., the DON stated that the resident was last seen by the Registered Dietician (RD) on 9/23/12 and she made no recommendations at that time. She said that the resident was above his/her ideal body weight. There was a 10/27/12 RD evaluation that noted the resident as 117% of his/her ideal body weight. On 12/15/12, the RD evaluation noted that the resident had been placed on [MEDICATION NAME] on 11/10/12 for diverticulitis and GERD. The RD wrote that the nursing staff had reported that the resident could be disruptive at times when encouraged to eat meals. The RD documented that the resident was 106.9% of his/her ideal body weight at that time and that slight weight loss was optimal. She recommended to start the Health Shakes three times a day if the resident's weight fell below 143 lbs. within 3 months. Although the resident had a continued weight loss since September, 2012, there was no evidence that the facility had determined that the resident's clinical condition had demonstrated that it was not possible to avoid the continued weight loss. 2017-10-01