cms_SC: 10089
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
|
| 10089 |
GLORIFIED HEALTH AND REHAB OF GREENVILLE |
425102 |
8 NORTH TEXAS AVENUE |
GREENVILLE |
SC |
29611 |
2014-04-24 |
441 |
F |
0 |
1 |
IGX111 |
On the days of the survey, based on policy review, record review and interviews, the facility failed to provide monitoring to help prevent the development and transmission of disease and infection. There was no tracking of organisms in six months review of the Infection Control Surveillance and no transmission precautions implemented for suspected lice in 1 of 1 resident reviewed for suspected lice. The findings included: During review of Resident # 9's medical record on 04/22/14 at approximately 3:30 PM, an assessment in the nurses notes dated 04/21/14 at 5 PM stated: ...Resident appears to have lice in hair and eye lashes. White nits are noted to hair throughout hair. No other documentation was found regarding the potential of the resident having lice. The Resident was in a semi-private room with a roommate. Interview with the Unit Manager, Licensed Practical Nurse #1, at the time of the findings verified that no follow up had been done and the resident should have been moved to a private room and placed on transmission precautions immediately until a further assessment was done. On 4/24/14 review of the facility's Infection Control Data Logs for October, 2013 through March, 2014 revealed inconsistent documentation on the Log of culture dates, if the culture was positive, and documentation of the organisms present on positive cultures. Review of the Logs revealed 4 incidents of a culture date, documented as positive with no organism identified; 2 cultures identified with a date, documented as positive with the organism designated with an "x" in the "other" column with no explanation of the meaning of "x." There were 8 infections with documented organisms without a culture date or indication of a positive result. There were 12 cultures dated with no documentation of whether the culture was positive and no organism identified but, due to the inconsistency of the documentation, could not conclusively be considered negative. Comparison of the Infection Control Data Log for October, 2013 to the individual resident surveillance reports for October revealed one resident with a positive urine culture identified as Escherichia coli and one with a culture positive for Lactobacillus not documented on the monthly log. Review of the November, 2013 log and individual reports revealed one report of greater than 100,000 bacteria without an organism identified and the attached urinalysis indicated the culture results were pending. Comparison of the January documentation revealed 2 individual reports that indicated urine cultures were obtained with no documentation of the results. There were 2 other individual reports that were documented on the log with an organism that were not indicated as positive. Review of the February documentation revealed an 2 individual reports indicating a positive urine culture with identified organisms which were not documented on the monthly log and 4 individual reports that indicated urine cultures were done with no documented results on the individual report or the monthly log. Review of the individual reports and monthly data log for March, 2014 identified 6 urine cultures that were obtained in March with no documentation of the results. During an interview on 4/24/14 at 9:32 AM, the Director of Nursing (DON) and Nursing Home Administrator (NHA) confirmed the organisms were not consistently listed on the Infection Control Data Logs. The DON and NHA stated that there were color coded maps for each month but the DON later confirmed that those only identified the type of infection, not the organism. The DON also confirmed the lack of documentation of the organisms on many of the individual reports. The DON indicated that after morning report each day, the charts of any reported infections/ antibiotic orders/ cultures were reviewed for physician notification and treatment orders. The results of any cultures were then entered into the computer but verified that the identified organisms were not being consistently entered into the computer. |
2014-06-01 |