cms_GA: 9674

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
9674	SEMINOLE MANOR NURSING HOME	115712	100 FLORENCE STREET	DONALSONVILLE	GA	39845	2011-03-03	505	D	0	1	YS9Q11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, it was determined that the facility failed to promptly notify the resident's attending physician about a high critical BUN and Creatinine and a low potassium level for one resident (#3) from a total sample of 15 residents. Findings include: Resident #3 had [DIAGNOSES REDACTED]. The resident had a history of [REDACTED]. On 12/2/10, the attending physician ordered one dose of 40 milliequivalents (meq.) of Potassium and repeat the potassium level in one week. On 12/9/10, a potassium level of 3.2 (low) was reported to the physician and he/she ordered potassium 20 meq. twice daily for two days and repeat a metabolic panel on 12/16/10. The laboratory staff contacted the facility on 12/16/10 at 6:38 a.m. with the laboratory test results of a low potassium level of 3.0, a high critical BUN level of 62 and a high critical creatinine level of 3.1. Review of the nurses notes and the laboratory's test results form revealed that nursing staff failed to notify the physician about those abnormal test results until 12/17/10 at 8:30 a.m. (more than 24 hours later). At that time, the physician ordered 20 meq. of potassium twice daily for three days and repeat a potassium blood level on 12/21/10. During an interview on 3/3/11 at 1:25 p.m., the Director of Nursing was unable to provide any reason for the delay in notification of the physician.	2015-06-01