cms_SC: 178
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
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address
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inspection_date
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deficiency_tag
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| 178 |
WHITE OAK MANOR - LANCASTER |
425017 |
253 CRAIG MANOR ROAD |
LANCASTER |
SC |
29720 |
2020-01-16 |
607 |
D |
1 |
1 |
FL9111 |
> Based on record review, interview, and review of the facility's policy Protocol for Reporting Abuse the facility failed to follow policy to report an allegation of abuse within the required timeframe for Resident #98, 1 of 7 reviewed for abuse. CNA #3 allegedly witnessed CNA #2 physically abuse Resident #98 on 1/30/19. The allegation was not reported to the State Agency until 2/6/19. The findings included: The facility reported an allegation of physical abuse for Resident #98 by CNA #2 to the State Agency. On 1/14/20 at 12:13 PM, review of the Initial 2/24-Hour revealed it was faxed to the State Agency on 2/6/19 at 09:34 AM. The Initial 2/24-Hour Report indicated Resident #98 was physically abused by CNA #2 and indicated the date/time of incident as 2/6/19 at 07:40. The report indicated there was an allegation that while two CNAs were providing care to resident, resident became combative and hit a CNA. There is an allegation that CNA may have physically retaliated. Further review revealed a Five-Day Report dated 2/8/19 that indicated the incident occurred on 1/30/19 at 08:50 PM at which time an incident report was done. The summary indicated physical abuse not substantiated by facility. CNA #3 reported that CNA #2 struck Resident #98 on the arm after the resident struck him/her and was forceful when turning the resident. At 12:33 PM on 1/14/20, review of the Occurrence Report also indicated the incident occurred on 1/30/19 and indicated the resident had 2 skin tears measuring 2.5x1.0 and 4.0x3.5 cm and was completed by LPN #2. On 1/30/19, CNA #3's statement on the Occurrence Report stated s/he was changing Resident #98 and observed a skin tear abrasion on (his/her) left arm. (S/he) was combative during care and hitting and grabbing at us. There was no statement obtained from CNA #2. Review of the Occurrence Report also indicated a 24 hour follow-up was done by Unit Manager RN #1 on 1/31/19 and was also signed by the Director of Nursing on 2/1/19. LPN #3's facility-obtained statement dated 2/6/19 indicated s/he was informed that Resident #98 had a skin tear. Went to the resident's room and noted the resident did not appear to be in any distress. A few minutes later CNA #4 asked LPN #3 to to talk to CNA #3. At that time CNA #3 said (s/he) got the skin tear because (s/he) roller (him/her) to hard. The LPN asked the CNA if s/he had written a statement and the CNA responded that s/he had. RN #2's facility-obtained statement indicated on 2/5/19 at 10:50 PM, CNA #4 informed the nurse that CNA #3 reported s/he had worked with CNA #2 and that the resident smacked CNA #2 and CNA #2 smacked the resident back and then threw the resident over to his/her side so they could change him/her and caused a skin tear. The statement also indicated when the RN spoke to CNA #3, the CNA stated they reached down to turn the resident and resident smacked (CNA #2) and (CNA #2) smacked (him/her) back and then pushed (him/her) over hard and resident hit (him/her) arm and got a skin tear. CNA #3 wrote another statement dated 2/6/19 stating s/he and CNA #2 used the total lift with the resident and that Resident #98 was getting irritated and combative, grabing at everything. S/he stated the resident hit CNA #2 and CNA #2 hit (him/her) back causing (him/her) to hit (his/her) hand on the rail. CNA #3 stated s/he told CNA #2 to turn the resident back towards him/her, and CNA #2 pushed (him/her) back more like shoved. CNA #3 stated CNA #2 then left the room stating I better leave before I lose my job. CNA #3 found the skin tear after CNA #2 left the room per the statement. CNA #3 then reported the skin tear to the nurse and afterward told CNA #4 what had happened. CNA #4 got LPN #3 at that time and CNA #3 told (him/her) everything that had happened. CNA #4's statement corroborated CNA #3's statement and that s/he witnessed CNA #3 telling LPN #3 about the incident. CNA #2's statement confirmed s/he assisted a co-worker putting Resident #98 to bed with the total lift. The statement also confirmed Resident #98 hit him/her on his/her left arm. CNA #2's statement indicated s/he pushed (his/her) arm down to stop (him/her). CNA #2 stated s/he used pads to turn Resident #98 and pushed his/her bottom. Review of the facility's policy entitled Protocol for Reporting Abuse stated Immediately notify, but not later that 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later that 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury. During an interview on 1/16/20 at 9:44 AM, the Nursing Home Administrator confirmed the incident occurred on 1/31/19 and that the Initial 2/24-Hour Report was sent to the State Agency on 2/6/20. The Administrator further confirmed the facility failed to follow its policy related to reporting. |
2020-09-01 |