cms_GA: 9395

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
9395 OXLEY PARK HEALTH AND REHABILITATION 115387 181 OXLEY DRIVE LYONS GA 30436 2010-09-23 318 D 0 1 FOKJ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, staff interviews and record review, it was determined that the facility failed to assess one resident (#4) for the use of a device that would help to prevent the increase of contractures of his/her hand from a sample of five residents with limited range of motion from a total sample of 19 residents. Finding include: Resident #4 had [DIAGNOSES REDACTED]. On 11/10/09, the resident was assessed by the Occupational Therapist (OT) as having the 4th and 5th digits of his/her right hand in flexion (being contracted)and digging into his/her palm. The resident received Skilled Occupational therapy from 11/10/09 until 12/21/09 and then was discharged to the Restorative Nursing Program. The "Functional Program" on the OT discharge note included that the resident use a right palm guard with finger separators. The "Restorative Intervention Plan" which began on 12/22/09 included that the resident receive passive range of motion exercises and a splint or brace application six times a week to limit contractures of his/her right hand. However, staff's documentation on that form noted that the resident refused those services for 12 of the 24 times. On the back of the form there were two documented times that the resident fought the staff and refused care. Staff further noted on 1/4/10 that the resident was discharged from the Restorative Nursing program because of not cooperating or allowing range of motion exercises or splinting. However, there was no further assessment for the use of a less restrictive device for preventing further digging into the resident's palm because of the contractures of his/her 4th and 5th digits of his/her right hand. There was no evidence that restorative staff had notified the occupational therapist about the resident's refusal of planned care. The resident was observed on on 9/22/10 at 10:00 a.m. His/Her right hand was in a curled position. CNA "HH," who was providing care for the resident at that time, asked the resident to open his/her right hand. The resident was unable to extend the 4th and 5th fingers on his/her right hand. CNA "HH" stated that positioning devices were not being used on the resident's right hand. On 9/23/10 at 12:30 p.m., charge nurse "EE" attempted to open the resident's 4th and 5th fingers on the right hand but, the resident groaned and said to stop. The nurse confirmed that the resident had not been assessed to address the prevention of his/her contractures from increasing and digging into the palm of his/her hand. 2015-07-01