cms_GA: 90

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
90	GLENWOOD HEALTH AND REHABILITATION CENTER	115025	4115 GLENWOOD RD	DECATUR	GA	30032	2017-11-08	441	C	0	1	FY6A11	Based on a review of facility records, policy review, and staff interview, the facility failed to maintain an infection control program designed to provide a sanitary environment for its residents for the period beginning (MONTH) (YEAR) to (MONTH) (YEAR). The facility census was 205. Finding include: Review of the undated Infection Prevention Manual revealed the facility's infection prevention program should include: surveillance of infections; investigation of outbreaks; regular review of the policies and procedures of the program with updates in response to changes; staff education related to infection prevention; incorporation of infection prevention into the quality assurance process; and the utilization of an Infection Preventionist to carry out the daily functions of the infection prevention program. Further review of the Infection Prevention Manual revealed the infection prevention program should also include reporting and documentation mechanisms. The Infection Preventionist is expected to monitor line listings of infections and complete monthly report forms which are reported to the Quality Assurance (QA) Committee and other staff for feedback. The infection preventionist is also expected to monitor and document compliance with infection prevention practices. Review of the facility's infection control program documents revealed documentation that the infection control program was maintained, accordingly, for the periods prior to (MONTH) (YEAR) and after (MONTH) (YEAR). However, the infection control program documents for the period (MONTH) (YEAR) through (MONTH) (YEAR) consisted only of line listings of infections maintained on the individual units of the facility, and facility wide CAI/HAI sheets for the months of (MONTH) (YEAR) and (MONTH) (YEAR) with calculated percentages of infections identified in the facility during those months. Interview on 11/2/17 at 2:15 p.m. with Registered Nurse (RN), BB revealed, she assumed the role of infection preventionist for the facility in (MONTH) (YEAR). Any previous records of the program would need to be obtained from the Director of Nursing (DON). 11/02/2017 2:41:41 PM - Interview with the DON revealed she functioned as the person in charge of the infection control program for the facility from (MONTH) through (MONTH) after the previous infection preventionist left. The DON further revealed that the facility's infection control program was not centralized; each of the five wings/units in the facility kept a line listing of infections on that unit for each month; the DON reviewed these listings at the end of the month, calculated the infection percentages, and took the findings to the QA Committee for month in question; she did not, during that time, maintain a centralized infection control program records nor did maintain copies after the findings after they were taken to the QA Committee.	2020-09-01