cms_SC: 130

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
130 PRUITTHEALTH- COLUMBIA 425013 2451 FOREST DRIVE COLUMBIA SC 29204 2018-03-23 640 D 0 1 LL0111 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to complete and/or transmit Minimum Data Set (MDS) 3.0 information within required 14 day timeframe as required by CMS (Centers for Medicare and Medicaid Services) and the State for 4 of 6 residents identified on Certification and Survey Provider Enhanced Reporting (CASPER) Minimum Data Set (MDS) 3.0 Missing Omnibus Budget Reconciliation Act (OBRA) Report generated on 3/14/2018. The findings included: Resident #382 had an assessment target date of 01/08/2018 which was the last transmitted Minimum Data Set (MDS) assessment per the CASPER (Certification and Survey Provider Enhanced Reporting) MDS 3.0 Missing OBRA (Omnibus Budget Reconciliation Act) Assessment Report generated on 03/14/2018. Resident #382 was discharged from facility on 1/12/2018 which was signed as complete by the Registered Nurse on 3/19/2018 which was not within the required 14 day time frame from the Assessment Reference Date (ARD) of 1/12/2018 as required by regulatory guidelines. The documentation provided for review by MDS Nurse #1 on 3/21/2018 at 11:30 AM revealed a Final Validation Report (FVR) with the submission Identification (ID) of 823 that was completed on 3/20/2018 at 12:55: 21 PM. Record #11 identified Resident #382's Discharge MDS assessment which was signed as complete on 3/19/2018 and submitted on 3/20/2018 was accepted into the CMS database and subsequently identified as Assessment Completed late: Z0500B (assessment completion date) is more than 14 days after A2300 (assessment reference date) . Resident #1 had an assessment target date of 10/10/2017 which was the last transmitted Minimum Data Set (MDS) assessment per the CASPER (Certification and Survey Provider Enhanced Reporting) MDS 3.0 Missing OBRA (Omnibus Budget Reconciliation Act) Assessment Report generated on 03/14/2018. Resident #1 was not discharged from facility and a quarterly MDS with an Assessment Reference Date (ARD) of 1/9/2018 was signed as complete by the Registered Nurse on 1/16/2018, however, the MDS was not transmitted to the Centers for Medicare and Medicaid (CMS) database and accepted within the 14 day time frame as required by CMS. The documentation provided for review by MDS Nurse #1 on 3/21/2018 at 11:30 AM revealed a Final Validation Report (FVR) with the submission Identification (ID) of 823 that was completed on 3/20/2018 at 12:55: 21 PM. Record #12 identified Resident #1's quarterly MDS assessment which was signed as complete on 1/23/2018 and submitted on 3/20/2018 was accepted into the CMS database and subsequently identified as Record Submitted Late. Resident #2 had an assessment target date of 10/24/2018 which was the last transmitted Minimum Data Set (MDS) assessment per the CASPER (Certification and Survey Provider Enhanced Reporting) MDS 3.0 Missing OBRA (Omnibus Budget Reconciliation Act) Assessment Report generated on 03/14/2018. Resident #2 was not discharged from the facility and a quarterly MDS with an ARD of 1/22/2018 was signed as complete by the Registered Nurse on 02/05/2018; however, the MDS was not transmitted to the Centers for Medicare and Medicaid (CMS) database and accepted within the 14 day time frame as required by CMS. The documentation provided for review by MDS Nurse #1 on 3/21/2018 at 11:30 AM revealed a FVR with the submission Identification (ID) of 823 that was completed on 3/20/2018 at 12:55: 21 PM. Record #31 identified Resident #2's quarterly MDS assessment which was signed as complete on 2/5/2018 and submitted 3/20/2018 was accepted into the CMS database and subsequently identified as Record Submitted Late. Resident #2 had an assessment target date of 10/24/2018 which was the last transmitted Minimum Data Set (MDS) assessment per the CASPER (Certification and Survey Provider Enhanced Reporting) MDS 3.0 Missing OBRA (Omnibus Budget Reconciliation Act) Assessment Report generated on 03/14/2018. Resident #383 admitted to the facility on [DATE] and an admission MDS with an ARD of 1/09/2018 was signed as complete by the Registered Nurse on 01/16/2018; however, the MDS was not transmitted to the Centers for Medicare and Medicaid (CMS) database within the 14 day time frame as required by CMS. The documentation provided for review by MDS Nurse #1 on 3/23/2018 at 11:01 AM revealed a FVR with the submission Identification (ID) of 095 that was completed on 3/21/2018 at 13:13:51. Record # 14 identified Resident #383's admission MDS assessment which was signed as complete on 1/16/2018 and submitted 3/21/2018 was accepted into the CMS database and subsequently identified as Record Submitted Late. During interview with MDS nurse #1 on 3/22/18 at 12: 45 PM , s/he verified that Resident #1's Quarterly MDS with ARD 1/9/2018 was submitted late, Resident #2's Quarterly MDS with ARD of 1/22/18 was submitted late. S/he further verified that Resident #382's discharge MDS assessment with ARD 1/12/18 was completed late as evidenced by date of RN signature reflecting completion of assessment of 3/19/2018 on Z0500B which was ARD + 66 days, which is outside the regulatory time frame of no later than 14 days after the assessment reference date. After receipt of FVR for Resident #383's admission MDS with ARD of 1/09/2018 on 3/23/2018/ at 11:01 AM, MDS Nurse #1 verified that the MDS was submitted late as it was sent greater than 14 days after it was initially completed on 1/16/2018. 2020-09-01