cms_GA: 78

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
78	GLENWOOD HEALTH AND REHABILITATION CENTER	115025	4115 GLENWOOD RD	DECATUR	GA	30032	2016-07-28	328	D	0	1	44GN11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and facility policy review the facility failed to ensure 1 resident (Resident #128) of 31 residents sampled, received the prescribed amount of enteral nutrition within a 24 hour timeframe. Findings include: Review of the facility's policy titled Administration of Enteral Feeding last reviewed 11/02/15 indicated Procedure: to ensure all residents who receive enteral feeding receive the appropriate care and services. - check physician orders-formula, amount, rate, flushes, and residual parameters. -document the amount of formula administered, the amount of free water administered and any exceptions noted with the administration of enteral feeding to the resident. On 7/26/16 at 9:17 a.m., Resident # 128 was observed in bed asleep with the head of the bed (HOB) at 45 degrees. A full bottle (1500 milliliters) of Osmolyte 1.0 (liquid nutrition) dated 7/26/16 at 4:30 AM was hanging on a pole connected to an infusion pump. The pump was turned off and the tubing was capped and draped over the pole. At 12:00 PM CNA JJ was observed with Resident #128 lying flat in the bed, providing incontinence care. The pump remained turned off On 7/26/16 at 2:20 PM, Resident #128 was observed in bed, HOB at 45 degrees, tube feeding (TF) was infusing at 75 ml/hr., no flush bag hanging. On 7/27/2016 9:15 AM , Resident #128 was observed in hospital gown in bed with 1500 ml (full bottle) of Osmolyte 1.0, dated 7/27 at 5:15 AM hanging on infusion pump pole capped and not connected to resident, not infusing. At 10:23 AM Resident #128 remained in bed and TF, remained off. Review of the Physician order [REDACTED].) for 22 hours to provide 1650 kilocalorie's in 1650 ml of volume. Every 2 hours flush peg tube with 200 ml of water. On 7/27/16 at 11:14 AM LPN KK was queried about the infusion times for Resident #128 ' s tube feeding and how often did the resident receives a flush. LPN KK responded it should be up for 12 hours and off for 8 hours. It was infusing when I came in but I turned it off to give medication. When asked why is the bottle still full. LPN KK offered no response. When asked how often he gives the resident flushes, LPN KK responded 200 ml every 4 hours. ON 7/27/16 at 11:20 AM, DON, & Executive Director were present on the unit and were asked if staff document daily how much TF was infused on Resident #128. DON responded staff does not document the amount of TF that is infused. DON was asked to check the pump in order to see the amount infused on the TF pump. Pump indicated 254 ml had been infused but a full bottle of TF was hanging. DON reviewed the physician order [REDACTED]. x 22 hours. When asked how the facility ensures the ordered amount is being infused daily when there is no documentation to indicate amount infused. DON and Executive Director stated We will began having staff document the amount of TF infused on each shift. The facility failed to ensure that Resident #128 received the prescribed enteral nutrition.	2020-09-01