cms_GA: 999

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
999 LAGRANGE HEALTH AND REHAB 115354 2111 WEST POINT ROAD LAGRANGE GA 30240 2018-12-18 609 D 1 0 TXXR11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on Complainant and staff interviews, and review of the Grievance Log, the facility failed to initiate an investigation of an allegation of missing narcotics for one (1) resident (R#2) from a sample of eight (8) residents. Findings include: Interview on 12/18/18 at 10:50 a.m. with the East Unit Manager EE revealed that a family thought that they had brought medication but home to the facility; but, they had not brought any medication. She revealed that the resident was a Hospice resident from the Hospital and no medications were brought with the resident from the hospital. She revealed that she did not report the allegation because she never received any medication. She revealed that she should have filed this information on a complaint allegation form. Interview on 12/18/18 at 11:55 a.m. with the Complainant revealed that a family member of the resident was concerned about the resident's [MEDICATION NAME]. He revealed that a family member stated that a blister pack of [MEDICATION NAME] was stuck in a Bible although when she checked the Bible the pills were missing. He revealed that the family member had reported the missing narcotic to the staff and that the staff did not do anything about it. Interview on 12/18/18 at 12:55 p.m. with LPN FF revealed that the resident's family member had call her into the room and revealed that the family member had placed a card of medication in a book and it is now missing. She revealed that she referred the family member to the Director of Nursing (DON). She revealed that this was reported to her supervisor immediately. She revealed that she did not fill out a complaint investigation form for the missing medication. Interview on 12/18/18 at 1:10 p.m. with the DON revealed that she talked to the family member, who had a several complaints, although she was never informed of any missing narcotics. She revealed that an investigation was never completed on allegation of missing medication. She revealed that there is not policy of what to do with medications brought into the facility nor the use of the inventory sheet. She revealed that she was not aware of the allegation of the missing medications but that an investigation should have been initiated for the allegation of a missing narcotics. Review of the Grievance Log dated 10/2018, 11/2018, and 12/2018 indicated no investigations about missing medications. Review of the Abuse Policy indicated each resident has the right to be free from abuse, neglect, misappropriation of resident's property. Policy Explanation and Compliance Guidelines indicated that: 1. staff should report allegations or suspected abuse, neglect or exploitation immediately to: Administrator, other Officials in accordance with State Law, State Survey and Certification agency through established procedures. 9. Response and Reporting of Abuse, Neglect and Exploitation- Anyone in the facility can report suspected abuse to the abuse agency hotline. When abuse, neglect or exploitation is suspected, the Licensed Nurse should: (c.) Initiate an investigation immediately, (e) Obtain witness statements, following appropriate policies, (f.) contact the State Agency and local Ombudsman office to report the alleged abuse. 2020-09-01