cms_SC: 111

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
111 ELLEN SAGAR NURSING CENTER 425012 1817 JONESVILLE HIGHWAY UNION SC 29379 2018-08-16 757 E 0 1 PLLD11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to ensure a drug regimen free from unnecessary drugs for 1 of 6 sampled residents reviewed for unnecessary medications. An antipsychotic was initiated for Resident #41 without justification and/or non-pharmacological attempts. The findings included: The facility admitted Resident #41 on 03/26/2015 with [DIAGNOSES REDACTED]. Review of the medical record on 08-15-2018 at approximately 5:30 pm revealed he/she was prescribed [MEDICATION NAME] 05-16-2018. Further review revealed no adequate indication for it's use. Continued review of the record revealed no documentation of inappropriate behavior for Resident #41 and there was no indication staff received Dementia management training/techniques. Nurses Note dated 05-16-2018 revealed New order for [MEDICATION NAME] 25 mg (milligrams), po (by mouth), daily at 1700 for agitation and anxiety. Further review of Nurses Notes revealed no documentation of inappropriate behavior. Review of Pharmacy Consultant Report dated 6-14-2018 revealed receives an antipsychotic [MEDICATION NAME] but does not have a supporting indication for use documented. Further review revealed Dementia with behaviors written under Physician's Response dated 06-18-2018. Review of the Medication Administration Record [REDACTED]. Interview with the Director of Nursing (DON) on 08/16/2018 revealed no behaviors had been documented for Resident # 41. Further interview revealed the Nurse Practitioner (NP) was seated at the Nursing Station one day and saw Resident # 41 looking as if he/she was agitated and headed for the door and the order for [MEDICATION NAME] was written. 2020-09-01