cms_GA: 6887

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
6887	OAKS - SCENIC VIEW SKILLED NURSING, THE	115393	205 PEACH ORCHARD ROAD	BALDWIN	GA	30511	2013-02-14	282	D	0	1	P02P11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to follow the care plan related to reviewing recent bowel elimination patterns and reporting any negative findings to the physician for one (1) resident (#265), and failed to follow the care plan related giving diabetes medications as ordered for one (1) resident (Q). The sample size was thirty-three (33) residents. Findings include: 1. Review of resident #265's Potential for Constipation care plan revealed an Approach to review recent bowel elimination patterns, and report any negative findings to the physician. Review of resident #265's physician's orders [REDACTED]. Review of the facility's BM (Bowel Movement) Report 8/12 from 01/29/13 to 02/11/13 revealed that they had eight watery liquid stools, as well as more than one stool on ten days during this time. During interview with CNA HH on 02/13/13 at 2:50 p.m., he stated that resident #265 had frequent loose BM's ever since they were admitted to the facility, and had to be changed several times a shift. During interview with Registered Nurse (RN) Unit Manager DD at 3:45 p.m., she verified the frequency and consistency of the BM's, and that the resident received a nightly laxative. Cross-refer to F 329. 2. Review of resident Q's Diabetes care plan revealed an Approach for meds as ordered. Review of resident Q's physician's orders [REDACTED]. Further review of this sliding scale order revealed it did not specify how much insulin to give for a blood sugar over 353. Review of the MAR between 12/17/12 and 02/14/13 revealed the resident's blood sugar exceeded 353 on 12/19/12, 01/16/13, and 02/09/13, and the resident was given insulin without an order. This was verified during interview with RN Unit Manager DD on 02/14/13 at 8:40 a.m., who stated the nurse should have contacted the physician when the blood sugar exceeded 353, as there was no order for insulin coverage above that. Cross-refer to F 309.	2017-09-01