cms_GA: 9387

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
9387	OXLEY PARK HEALTH AND REHABILITATION	115387	181 OXLEY DRIVE	LYONS	GA	30436	2010-09-23	315	D	0	1	FOKJ11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and record review, it was determined the facility failed to provide appropriate catheter care for one resident (#6) in a sample of three residents with indwelling urinary catheters, and failed to provide complete incontinence care for one resident (#4) in a sample of nine incontinent residents in a total sample of 19 residents. Findings include: According to the American Medical Director's Association's Clinical Practice Guidelines, indwelling catheters should be positioned, secured and managed to minimize urethral damage. The facility's policy and procedures for catheter care noted that staff were to avoid tension on the catheter and in and out movement of the catheter. However, nursing staff failed to position and secure resident #6's catheter during care. The facility's procedures for "Perineal Care" documented that nursing staff were to cleanse the resident's labia area by first wiping one side and then the other taking care to fold the cloth so as to use clean sections with each stroke or use a clean cloth each time. The facility's nurse aide competency checklist for "Perineal Care for Female Patients" instructed nursing staff to separate the labia and wash downward on each side. The goal of perineal care was to prevent or reduce the spread of infection. However, nursing staff failed to perform incontinence care correctly for resident #4. 1. Resident #6 was admitted with [DIAGNOSES REDACTED]. During an observation of catheter care being provided on 9/22/10 at 9:50 a.m., certified nursing assistant (CNA) "JJ" failed to position, secure and manage the catheter tubing at the insertion site while cleaning the tubing. 2. During an observation of incontinence care being provide for resident #4 on 9/22/10 at 10:00 a.m., CNA "HH" failed to clean the resident's labia area before repositioning onto his/her side to perform care on his/her buttock area.	2015-07-01