cms_SC: 127

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
127	PRUITTHEALTH- COLUMBIA	425013	2451 FOREST DRIVE	COLUMBIA	SC	29204	2018-03-23	636	D	0	1	LL0111	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and limited record reviews, the facility failed to complete a comprehensive Minimum Data Set (MDS) 3.0 assessment within the timeframe required by the Centers for Medicare and Medicaid (CMS) for 1 of 1 resident reviewed for pressure ulcers. Resident #16 did not have a comprehensive (annual or significant change in status) MDS assessment completed as required within 92 days of the prior Omnibus Budget Reconciliation Act (OBRA) MDS quarterly assessment with Assessment Reference Date (ARD) of 8/22/17. The findings included: Resident #16 was admitted to facility with the following [DIAGNOSES REDACTED]. Record review on 3/23/18 at approximately 9:00 AM revealed that Resident #16 had a Quarterly Minimum Data Set (MDS) assessment with an Assessment Reference Date (ARD) of 8/22/17 completed. Further review of the medical record on 3/23/18 revealed that the next MDS completed was a Significant Change in Status (SCSA) MDS assessment with an ARD of 12/5/17. Additional review revealed that the prior comprehensive MDS assessment was completed with an ARD of 11/24/16 and identified as an annual MDS assessment. The ARD for the SCSA (12/5/17) was ARD + 105 calendar days from the prior quarterly assessment (8/22/17) and was ARD + 377 calendar days from the prior annual MDS assessment (11/24/16). Review on 3/23/18 at of the MDS Resident Assessment Instrument (RAI) Manual version 1.15 effective date 10/1/2017; Chapter 2 page 2-22 revealed the following: The ARD (Item A2300) must be set within 366 days after the ARD of the previous OBRA comprehensive assessment (ARD of previous comprehensive assessment +366 calendar days AND within 92 days since the ARD of the previous OBRA quarter or Significant Correction to Prior Quarterly assessment (ARD of previous Quarterly assessment + 92 calendar days). MDS nurses #1 and #2 verified during interviews on 3/23/18 that a annual MDS had not been completed as originally scheduled with an assessment reference date of 11/24/17 but changed due to Resident #16 being admitted to hospice services 11/22/17. Further discussion revealed that MDS nurse #2 had initiated a significant change in status assessment with an ARD of 12/5/17 to replace the annual assessment. S/he verified during interview that s/he was not aware that the time frame for the required comprehensive MDS had lapsed and that was due with ARD no later than 11/21/17 related to the date of the prior OBRA Quarterly MDS ARD (8/22/17) +92 calendar days.	2020-09-01