cms_GA: 9557

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.

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
9557 CHESTNUT RIDGE NSG & REHAB CTR 115423 125 SAMARITAN DRIVE CUMMING GA 30040 2011-11-10 514 D 0 1 06HO11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and staff interview the facility maintain accurate documentation related to drug dosage for one (1) resident, resident # 4 on a sample of thirty-five (35) residents. Findings include: Record review of the medications for resident # 44 revealed that she was on [MEDICATION NAME] 40 milligrams by mouth at 6:30 a.m. for reflux. The current monthly Physician order [REDACTED]. Observation of the current medication blister pack was [MEDICATION NAME] 20 milligrams by mouth at 6:30 a.m. with eight pills missing. Review of the current Medication Administration Record [REDACTED]. Interview with the Director of Nurses (DON) on 11/09/11 at 8:00 a.m. revealed that the order is for [MEDICATION NAME] 40 mg and the pharmacy sent the wrong medication. She stated that they used floor stock for the drug and she did not know why the pharmacy sent the blister pack of [MEDICATION NAME] for this resident. Interview with the Administrator on 11/09/11 at 8:10 a.m. revealed that she would call the pharmacist and clarify what strength they have been sending for this resident. On 11/09/11 at 9:15 a.m. the Administrator brought the surveyor documentation from the pharmacy that the order was changed on 11/02/11 with the consent of the physician. The pharmacist stated that the current orders were printed on 10/23/11 and this change did not make the current orders. However, he stated they did send the [MEDICATION NAME] 20 milligrams for November and the staff has been giving the 20 milligrams and documenting that they are giving 40 milligrams. Interview with the Administrator on 11/09/11 at 9:35 a.m. confirmed that the pharmacy had sent the [MEDICATION NAME] 20 milligrams for resident # 44 and the nursing staff had given it but documented that they were giving [MEDICATION NAME] 40 milligrams. 2015-06-01