cms_GA: 7860

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
7860 GOLDEN LIVINGCENTER - WINDERMERE 115291 3618 J DEWEY GRAY CIRCLE AUGUSTA GA 30909 2012-01-26 279 D 0 1 BSSQ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and staff interview, the facility failed to develop care plans related to wheelchair positioning and impaired skin integrity secondary to ongoing scratching behaviors for one (1) resident (#113) from a sample of forty-two (42) residents. Findings include: 1. On 01/24/12 at 7:43 a.m., resident #113 was noted to be in a wheelchair at their bedside. There was no foot support on the wheelchair, and the resident's feet were dangling approximately four inches from the floor. The resident's trunk, head, and neck were leaning to left side. At 12:48 p.m., when the resident was in bed, their wheelchair was noted to have lateral trunk supports, but no leg, head or neck positioning devices. Review of the Annual Minimum Data Set ((MDS) dated [DATE] noted that the resident was totally dependent on staff for all activities of daily living (ADL), and had functional range of motion impairment on one side. Review of the resident's care plans revealed no plans or interventions were developed for wheelchair positioning. Occupational Therapy (OT) Progress Report and Discharge Summary dated 4/22/11 noted the resident was issued short leg rests, a double headrest, step cushion and lateral support for their wheelchair. On 01/25/12 at 1:05 p.m., OT MM verified the wheelchair resident #113 was using was not the one recommended to properly position him/her. On 01/25/12 at 10:35 a.m., MDS Coordinator FF stated that the wheelchair positioning should have been care planned. 2. Review of resident #113's Annual MDS dated [DATE] noted that they had short- and long-term memory problems with severely impaired decision making, and were totally dependent on staff for all ADLs. Review of Physician order [REDACTED]. A Pressure Ulcer care plan was developed, but none of the care plans mentioned skin damage due to chronic scratching. On 01/24/12 at 4:08 p.m., Certified Nursing Assistant (CNA) NN stated the black material under the fingernails of resident #113's left hand was from him/her scratching, and stated she thought the resident had [MEDICAL CONDITION]. On 01/25/12 at 9:30 a.m., CNA OO stated the resident scratches themselves real bad. Observation of the skin revealed that there were numerous long scratch marks on the resident's upper legs, and the resident was noted to scratch their left leg at this time. On 01/25/12 at 12:02 p.m., Treatment Nurse QQ verified the healed and non-healed scratches and scabbed areas to the resident's legs, as well as three scratch marks across the resident's chest. On 01/26/12 at 10:35 a.m., MDS Coordinator FF stated she relied on the Grand Rounds notes and Doctor's Progress Notes prior to doing the annual assessment last August, and neither one mentioned scratching or skin issues, so she didn't develop a care plan. 2016-10-01