cms_GA: 8678

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
8678 SIGNATURE HEALTHCARE OF SAVANNAH 115120 815 EAST 63 STREET SAVANNAH GA 31405 2012-03-29 282 D 0 1 G6KB11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and staff interview, the facility failed to consistently follow the care plan related to treatments, reporting skin concerns, and skin checks for one (1) resident (# 164) with pressure sores. The sample size was thirty-six (36) residents. Findings include: Review of resident #164's medical record revealed that they had multiple pressure ulcers. A Nursing Home Orders hospital discharge form dated 03/05/12 noted to change the dressing to the resident's sacrum twice a day, and this was scheduled on the Treatment Record to be done on the 7:00 a.m. to 3:00 p.m. (7-3) shift and the 3:00 p.m. to 11:00 p.m. (3-11) shift. Review of the Impaired Skin Integrity care plan included approaches to perform treatments per physician's orders [REDACTED]. Review of the Resident Weekly Skin Check Sheets revealed that after admission to the facility on [DATE], a skin assessment was not performed until 12/12/11. Per the 02/24/12 skin assessment, the nurse noted reddened areas below the right fifth toe, right hip, and left ankle. On 03/28/12 at 10:03 a.m., Treatment Licensed Practical Nurse (LPN) was observed performing wound care for resident #164. The dressing to the sacral area was dated 3/27. At 11:00 a.m., the Treatment LPN stated that the sacral dressing that she just changed was the same dressing she applied yesterday morning. She added the order was to change the dressing twice a day, and there was no documentation on the Treatment Record that the dressing scheduled to be changed on the 3-11 shift was ever done. She stated that the nurses did skin assessments on all residents weekly, and verified there were no skin assessments done on 11/28/11 and 12/05/11. She added that she did not start treatments to the reddened areas of skin noted on the 02/24/12 skin assessment until 02/27/12, because she was not notified until then. On 03/28/12 at 3:15 p.m., the Director of Nurses (DON) stated that the evening nurse was responsible for doing the 3-11 dressing change. On 03/29/12 at 8:40 a.m., she stated the facility protocol was to do weekly skin assessments. Cross-refer to F 314. 2015-11-01