cms_GA: 8172

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
8172	TWIN VIEW HEALTH AND REHAB	115540	211 MATHIS AVENUE	TWIN CITY	GA	30471	2011-11-10	157	D	0	1	EU8311	Based on record review, staff interview, and facility document review, the facility failed to immediately consult with the physician of one (1) resident (#46), of thirty-three (33) sampled residents. Findings include: Record review for Resident #46 revealed a Nurse's Notes entry of 9/18/11 at 6:30 a.m. which documented that while in the hallway, the resident had removed the lap buddy from the wheelchair, attempted to ambulate and then fell , striking her head on the wall. This Note documented that the resident had a small knot on the back of her head, and that neurological checks were implemented per protocol. During an interview with the Director of Nursing (DON) conducted on 11/09/11 at 2:28 p.m., the DON presented a copy of the Incident Report referencing this resident's 9/18/11 fall which documented that the physician's office was provided notification of the incident, by facsimile, later in the day on 9/18/11. However, review of the Nursing Home Communications sheet which was sent back to the facility from the physician, via facsimile, in response to this incident revealed that it was it was not signed by the physician until 9/19/11, and was not received by the facility until 12:48 p.m. on 9/19/11. Further review of the medical record revealed no evidence to indicate that facility staff had made any additional attempts to contact the physician for consultation about the resident's fall between the 9/18/11 facsimile to the physician's office and the 9/19/11, 12:48 p.m. facsimile back to the facility from the physician. This resulted in an approximate thirty-one (31) hour delay in physician consultation related to this incident involving the resident falling, striking her head, and sustaining an injury to the head. During an 11/10/11, 9:30 a.m. interview with the DON, the DON stated that facility procedure was to facsimile the physician a notification of a resident accident, but only if there was no injury, and then to await the response back from the physician. She stated there was no telephone call, or additional follow-up, once the facsimile was sent to the physician when there was no injury. In cases where there was an injury, a telephone call should be made to the physician.	2016-06-01