cms_GA: 8358

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
8358 WESTBURY HEALTH & REHABILITATION CENTER - CONYERS 115469 1420 MILSTEAD ROAD CONYERS GA 30012 2011-11-17 166 D 0 1 O70T11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and resident and staff interviews, the facility failed to ensure that one (1) resident (Z) was made aware of the the progress toward resolution of a grievance from a sample of thirty-five (35) residents. Findings include: Review of the resident care plan dated 8/26/11 and updated 11/15/11 for resident Z revealed the resident was at risk for falls related to impaired mobility and at risk for fractures related to [DIAGNOSES REDACTED]. Goal: resident will not have any falls requiring hospitalization through next review date. Intervention: Take extra caution when transferring resident or assisting with activities of daily living (ADLs). Interview on 11/15/11 at 2:08 p.m. with resident Z revealed that there was an incident with a Certified Nursing Assistant (CNA), when the CNA was rude, a few weeks ago that occurred in the early morning. The CNA was helping the resident to get up out of bed and the resident was holding on to the siderail. The CNA told the resident to stop holding onto the siderail and not to hold onto the CNA either. Resident revealed he/she told the CNA he/she was afraid of falling on the floor without holding onto something because he/she had fallen before at another facility. Continued interview revealed that the resident does not want this CNA around him/her anymore because she would let him/her hit the floor The resident did not know the name of the CNA but would recognize her if she saw her. The resident further revealed that he/she had reported the incident but was not sure who he/she reported to. Interview on 11/15/11 at 2:20 p.m. with Registered Nurse (RN) AA revealed she was aware of the resident's complaint about a CNA and Social Services had met with the resident to discuss it. Review of the Grievance Log dated 10/17/11 completed by Social Services revealed a report was made by Social Services after talking with the resident and the grievance was referred to Nursing and Administration. Review of Grievance report dated 10/18/11 completed by the Director of Nursing (DON) revealed that the resident was on antibiotics for a urinary tract infection [MEDICAL CONDITION] at the time of the report and the resident could not remember the specific date and time of the incident. Report revealed will be alerted to report of incident after antibiotics are completed. If repeats this story, will reinitiate investigative process. Interview on 11/16/11 at 2:19 p.m. with the Director of Nursing (DON), revealed that she investigated the incident and wrote the report. The DON revealed that the resident had a raging UTI at the time of the incident and the DON thought there might be a clinical reason for the resident to be confused. Continued interview revealed that the DON confirmed she did not followup any more and did not write a follow up note because she did not hear any more about the incident. Review of the facility's Policy for Investigating Grievances and/or Complaints. The policy revealed the resident would be informed of the findings of the investigation, as well as any corrective actions recommended, within 5 working days of filing the grievance or complaint. Interview on 11/17/11 at 8:45 a.m. revealed that everything was explained last night regarding transfers from the bed. Resident revealed feeling safer with the lift or something to hold on to and this will be the new plan of care for transfers from bed to/from wheelchair. 2016-02-01