cms_SC: 105

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
105 ELLEN SAGAR NURSING CENTER 425012 1817 JONESVILLE HIGHWAY UNION SC 29379 2018-08-16 578 D 0 1 PLLD11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to ensure residents were afforded the opportunity to formulate their own decisions regarding health care for 1 of 2 residents reviewed for Advanced Directives. Resident # 26 was not provided the opportunity to update his/her healthcare decision. The findings included: Resident #26 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the Medical Record on 08/14/2018 at 11:53 AM revealed Resident #26 Advance Directive status was Do Not Resuscitate (DNR). Further review revealed the document was not signed by Resident #26. Continued review revealed the document was signed by the legal representative in (YEAR). Review of the Progress Note Addressing Decisional Capacity dated 9/16/16 revealed This patient DOES possess the decisional capacity to make healthcare decisions for self. Interview with Registered Nurse #1 on 08/15/2018 at approximately 2:30pm revealed when the resident is sent out to the Hospital the facility supplies Emergency Medical Services with the DNR order. Further interview revealed the capacity to make healthcare decisions needs to be updated to reflect resident's current wishes. 2020-09-01