cms_SC: 129

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
129 PRUITTHEALTH- COLUMBIA 425013 2451 FOREST DRIVE COLUMBIA SC 29204 2018-03-23 638 D 0 1 LL0111 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interview and limited record reviews, the facility failed to complete a quarterly Minimum Data Set (MDS) assessment within the required time frame as outlined in the MDS 3.0 Resident Assessment Instrument (RAI) manual for 1 of 1 resident reviewed for pressure ulcers. Resident #16's quarterly MDS was not completed with an Assessment Reference Date (ARD) within 92 calendar days of the ARD of the most recent Omnibus Budget Reconciliation Act (OBRA) assessment, a Significant Change in Status Assessment (SCSA) with ARD of 12/5/17. 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 Significant Change in Status (SCSA) Minimum Data Set (MDS) assessment with an Assessment Reference Date (ARD) of 12/5/17 completed related to admission to hospice care services. Further review of the medical record on 3/23/18 revealed that there was not a quarterly MDS assessment completed as required on or before 3/7/18. Additionally, the only MDS with an ARD after 12/5/17 was a SCSA MDS that was currently in the process of being completed with an ARD of 3/15/18. 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 2-32 revealed the ARD of an assessment drives the due date of the next assessment. The next non-comprehensive assessment is due within 92 days after the ARD of the most recent OBRA assessment (ARD of the previous OBRA assessment- Admission, Annual, Quarterly, Significant Change in Status, or Significant Correction assessment + 92 calendar days). MDS nurses #1 and #2 verified during interviews on 3/23/18 that a quarterly MDS had not been completed as originally scheduled with an assessment reference date of 3/6/18 due to hospice services being discontinued effective 3/8/2018. Further discussion revealed that MDS nurse #2 had initiated a significant change in status assessment with an ARD of 3/15/18 to replace the quarterly assessment. S/he verified during interview that s/he was not aware that the time frame for the required quarterly MDS had lapsed and that was due with ARD no later than 3/7/18. MDS Nurse #2 reported that s/he had initiated an assessment using the previously scheduled ARD of 3/6/18 to be completed and transmitted to the state, but verbalized that it was considered late. 2020-09-01