cms_GA: 9307

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
9307	EMANUEL COUNTY NURSING HOME	115704	117 KITE ROAD	SWAINSBORO	GA	30401	2011-10-06	325	D	0	1	O4KP11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation and staff interview, the facility failed to provide nutritional interventions for one (1) resident (# 43) who had a significant weight loss and a low [MEDICATION NAME] level. The sample was twenty-six (26) residents. The findings included: Record review indicated resident # 43 was admitted with multiple [DIAGNOSES REDACTED]. The resident's BIM score was 4, indicating cognitive impairment. A review of the significant change MDS 3.0 dated 02/21/11 assessed the resident as having no weight loss concerns. The Care Area Assessment (CAA) did not trigger for nutrition and no decision was made to include it in the care plan. The Nutritional assessment dated [DATE] indicated the Ideal Body Weight to be +/- 110 (10%) and the resident eats 50% or greater. Resident # 43 [MEDICATION NAME] level was low at 3.0 g/dl (normal 3.4-5) on 5/17/11, prior to the significant weight loss in July. A review of the Weight Notebook revealed the resident weighed 112 lbs on 6/02/11 and three months later on 9/06/11, weighed 103. This represented a significant weight loss of 8.03 % in a 3 month period. Observation of the dinner meal on 10/04/11 at 6:00 p.m. and breakfast on 10/05/11 at 8:35 a.m. revealed the resident received a Regular diet. Consumption at these meals was from 45-75 %. On 10/05/11 at 11:15 am interview with the RN/ADON revealed the resident's weight loss was due to [MEDICAL CONDITION] in the lower extremities. The ADON observed the resident and stated there was no [MEDICAL CONDITION] at this time. At 11:32 am interview with "HH" dietitian confirmed the resident's significant weight loss in July and September. The Dietitian said she did not include any new interventions because the weight loss was due to a decrease in [MEDICAL CONDITION]. The Dietitian reviewed the physician's Progress Notes dated 5/28/11 included 2+ non [MEDICAL CONDITION], 6/21/11 included swelling of both legs (weight on 6/02/11=112), 7/17/11 included extremities 2+ [MEDICAL CONDITION] (weight on 7/5/11=102) and 8/21/11 included extremities 2+ [MEDICAL CONDITION] (weight on 8/04/11=103). The Dietitian indicated that the [MEDICAL CONDITION] should show an increase in the resident's weight and not a decrease. The Dietitian indicated she had discussed possible increases in the diet with the resident and felt she could not take in anything extra, but failed to document this intervention consideration.	2015-08-01