cms_GA: 7882

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
7882 EAST LAKE ARBOR 115482 304 FIFTH AVENUE DECATUR GA 30030 2012-06-21 151 D 0 1 2XUF11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record review, resident, family, and staff interview the facility failed to provide supervision for smoking for one (1) resident Z from a sample of thirty five (35) residents Findings include: Review of the medical record revealed that resident Z was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the annual Minimum Data Set (MDS) assessment dated [DATE] revealed that the resident was assessed as totally dependent for Activities of Daily Living (ADLs) and had limited function to both upper and lower extremities. The resident was assessed with [REDACTED]. Interview on 06-18-12 at 2:10 PM with resident Z revealed that he/she was not allowed to smoke every day because the facility informed him/her that he/she could only smoke if a family member would come to the facility to assist him/her. The resident acknowledged that he/she would like to go out side during smoke breaks. Continued interview revealed that the resident had burned his/her clothing in the past and needs assistance to smoke because of the inability to use his/her hands to hold the cigarette. The resident indicated that that the Administrator told him/her that the facility did not have anybody to assist the resident one on one. Observations on 06/19/12 at 10:30 a.m. and on 06/20/12 at 10:30 a.m., during smoke break, revealed two (2) smoking areas, one (1) at the end of the thee hundred (300) Hall and the other off the two hundred (200) Hall. Continued observations revealed more than one (1) staff member outside with the smoking residents at each of the two (2) smoking locations. Interview with the Director of Nursing (DON) on 06/20/12 at 8:25 a.m. revealed that the resident had burned his/her clothing about two years ago because he/she drops the cigarettes as is unable to hold the cigarettes in his/her hands. Continued interview revealed that that the family was notified of the resident burning himself and since the facility does not have the staff to watch all the smokers, the resident only smokes when the family comes to the facility and takes the resident outside. She stated that the resident does not smoke with the other residents. Interview with Activity Director on 06-20-12 at 10:20 a.m. revealed that the facility only has one staff member with the smokers outside and that that resident Z needs one on one supervision to smoke. Continued interview revealed that the resident can only smoke if a family member is with him/her and does wear an apron when smoking. Interview on 06/20/12 at 10:55 a.m. with the Administrator revealed that they do not have the staff to give the one on one supervision the resident needs, therefore, can only smoke with a family member. Continued interview revealed that if the family does not visit, the resident does not smoke because there was not enough staff to watch the resident one on one. Interview on 06-20-12 at 11:35 a.m. with family members of resident Z revealed that the facility had contacted them and stated that the the resident needed someone to assist with smoking and needed one on one supervision. Continued interview revealed that the facility informed them that if the resident was going to smoke, the family would have to come to the facility and would have to be with the resident when he/she smoked. The family member stated that they were told by the facility that the facility was not going to allow the resident to smoke because they did not have the staff to watch the resident. Further interview revealed that the family does not get to the facility as often as they want to, due to problems with transportation and sometimes it might be two (2) to three (3) weeks between visits. The resident does have cigarettes at the facility so that he/she can smoke at the scheduled smoke times. 2016-10-01