cms_GA: 992

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
992 LAGRANGE HEALTH AND REHAB 115354 2111 WEST POINT ROAD LAGRANGE GA 30240 2019-08-08 640 B 0 1 CDOM11 Based on record review and staff interview, the facility failed to ensure that a discharge Minimum Data Set (MDS) assessment was transmitted within 14 days of discharge to the Centers for Medicare and Medicaid Services (CMS) Quality Improvement Evaluation System (QIES) Assessment Submission and Processing (ASAP) System for three of six residents (R) reviewed for discharge (#1, #2, and #3). Findings include: 1. Review of the discharge record revealed R#1 was discharged from the facility on 3/14/19. Review of R#1's MDS list revealed there was an Admission assessment completed on 3/7/19, and the MDS discharge assessment was not completed. 2. Review of the alphabetical census of the current residents dated 8/5/19 revealed R#2 no longer resides in the facility. Review of R#2's MDS list revealed there was an Admission assessment completed on 3/8/19, but there was no MDS discharge assessment listed. 3. Review of the alphabetical census of the current residents dated 8/5/19 revealed R#3 no longer resides in the facility. Review of R#3's MDS list revealed there was an Admission assessment completed on 3/8/19, but there was no MDS discharge assessment listed. During an interview on 8/8/19 at 1:48 p.m., MDS Coordinator AA revealed the facility did not have an MDS Coordinator for four months. She has been employed for two weeks and confirmed the above discharge assessments had not been completed. She stated they pulled the schedule from (MONTH) 1 until now and have been trying to catch up. MDS Coordinator AA stated that she is unable to transmit assessment because she does not yet have her password. Interview with the Director of Nursing on 8/8/19 at 5:04 p.m. revealed she expects staff to conduct and transmit assessments timely. She stated that the corporate nurse could have been transmitting the assessment in the meantime while the new MDS staff are waiting on passwords. Review of the document titled Chapter 5: Submission and Correction of the MDS assessment dated (MONTH) 2019 revealed for all non-Admission OBRA and PPS assessments, the MDS Completion Date must be no later that 14 days after the Assessment Reference Date. 2020-09-01