cms_GA: 9970

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
9970	GRACEWOOD NSG FACILITY(UNIT 9)	11A200	100 MYRTLE BLVD., EAST CENTRAL REG HOSP	GRACEWOOD	GA	30812	2010-09-23	309	G	0	1	C3EB11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview the facility failed to ensure that, residents were closely monitored for acute pain, following a new injury. This was evidenced by the failure to assess for potential pain for one (1) resident #23 following a leg injury and resulted in harm to the resident. The sample size was twenty one (21) residents. Findings include: Record review revealed that resident #23 was [AGE] years old, non-verbal and has [DIAGNOSES REDACTED]. Further record review revealed a Health Note dated 3/02/10 at 7:00 a.m., indicating that nursing staff noted swelling of the right upper thigh and knee and lower leg area, with a light brown discoloration below the knee. It also indicated that the right lower extremity was warm to touch. Review of a Health Note dated 3/03/10 at 2:00 a.m. indicated the resident's right lower extremity was painful to touch when assessed. In another note dated 3/03/10 at 3:00 a.m. nursing staff indicate the resident's right leg is tender to touch. In the Health Note dated 3/03/10 at 5:30 a.m. nursing staff indicate the resident was transported to the hospital emergency room via ambulance and determined to have sustained a fractured tibia and fibula. Record review revealed the resident had a physician orders [REDACTED]. Review of the resident's March 2010 Medication Administration Record [REDACTED]. The first dose of [MEDICATION NAME] was administered nine (9) hours after the injury was identified. There was no documentation that the resident was being monitored and assessed more closely for potential pain during that nine (9) hour period. This was confirmed in an interview with the Registered Nurse Manager on 9/22/10 at 3:30 p.m.	2015-04-01