cms_GA: 9385

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
9385 OXLEY PARK HEALTH AND REHABILITATION 115387 181 OXLEY DRIVE LYONS GA 30436 2010-09-23 309 G 0 1 FOKJ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record reviews and staff interviews, it was determined that the facility failed to ensure that restorative nursing staff notified supervisory nursing staff about one resident's (#13) complaints of pain during active range of motion exercises from a total sample of 19 residents. This failure resulted in harm for resident #13. Findings include: 1. Resident #13 had been on a "Functional Program" since 7/6/10 for restorative nursing staff to provide active range of motion exercises for both of the resident's legs six times a week as tolerated while he/she was seated in a wheelchair. This "Functional Program" developed by the physical therapist included encouraging the resident to walk with a rolling walker and to refer the resident to the therapist if any concerns arose. The resident's "Restorative Intervention Plan" included active range of motion exercises. The resident's care plan since 6/7/10 included his/her risk for general aches and pains. The goal was that the resident would be given pain medications as needed to relieve pain with an intervention for pain assessment. Restorative aide "KK" was observed on 9/23/10 at 11:05 a.m. providing passive range of motion exercises to the resident's legs and arms while the resident was lying in the bed which was not according to the planned "Functional Program" . The resident yelled "Oh!" when "KK" flexed the resident's right knee and again when "KK" flexed it a second time. When "KK" stopped the range of motion exercises to the resident's right leg, he/she had no further complaints of pain. "KK" stated at that time that the resident had complained about right leg pain during range of motion exercises since he/she began the functional program on 7/5/10. "KK" stated that she/he had notified the nurses about the resident's complaints of pain. However, on 9/23/10 at 11:50 a.m., licensed nurse "LL" stated that she/he had not been notified that resident #13 had complained about having pain during range of motion exercises. On 9/23/10 at 12 noon, supervisory nursing staff "NN" stated that he/she was unaware that the resident had complained about any pain during range of motion exercises. On 9/23/10 at 12:50 p.m., registered nursing staff " DD " who was responsible for restorative services, stated that she/he had not been notified that the resident had complained of pain during range of motion exercises. Although according to staff's documentation on the "Restorative Intervention Plan" that the resident refused range of motion exercises from 7/5 - 7/9/10, 7/11 to 7/15/10, 7/17 to 7/20/10, 7/25 to 7/26/10, and 7/28 - 7/30/10, there was no evidence that it was identified as a concern. The "Functional Program" developed by the physical therapist was for active range of motion exercises to be done while the resident was seated in the wheelchair. However, passive range of motion exercises were observed done on 9/23/10 while he/she was lying in bed. Despite the restorative nursing staff's statement on 9/23/10 at 11:05 a.m. that nursing staff was aware of the resident's continuing to experience pain during range of motion, the pain assessments done by licensed nursing staff twice a day in July, August, and September indicated that he/she had no pain. The resident had a physician's orders [REDACTED]. Despite restorative staff "KK's" statement that the resident had complained of pain since beginning the "Functional Program" (7/5/10), the pain assessments did not document the resident as ever having any pain from July to September 21, 2010. According to nursing staff's documentation on the Medication Administration Records (MARS) for 7/10, 8/10 and 9/10, the resident had not been given [MEDICATION NAME] for pain. The physician had discontinued the [MEDICATION NAME] on 8/23/10 because of it not having been given for 60 days. 2015-07-01