cms_SC: 1924

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.

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
1924 LIFE CARE CENTER OF HILTON HEAD 425147 120 LAMOTTE DRIVE HILTON HEAD ISLAND SC 29926 2018-05-02 686 D 0 1 KRST11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, and interview the facility failed to ensure proper cleaning of a sacral decubitus ulcer for Resident #519 for 1 of 3 residents reviewed with Pressure Ulcers. The findings included: The facility admitted Resident #519 with [DIAGNOSES REDACTED]. An observation on 3/21/2018 at approximately 10:30 AM during wound care for Resident #519 revealed a physician's orders [REDACTED]. LPN (Licensed Practical Nurse) #2 knocked on Resident #519's door and waited for the resident to give permission to enter. LPN #2 explained the procedure to the resident and this surveyor asked permission to observe the wound care and he/she stated, sure. Privacy was provided and both LPN #2 and the RN (Registered Nurse) assisting washed their hands and applied gloves. The RN and LPN #2 positioned Resident #519 and raised the bed and removed the brief. LPN #2 then, removed her gloves and washed his/her hands and applied gloves and removed the soiled dressing which contained a scant amount of drainage. The LPN them removed his/her gloves and washed her hands, the wound bed had 2 elongated areas in the upper part of the crack area. The wound bed is beefy and the surrounding tissue is red torturous with some dark areas noted. The LPN then removed his/her gloves and washed he/her hands and reapplied gloves, and the LPN cleaned with wound with normal saline X 2 wiping from top to bottom of the wound and then removed his/her gloves and washed his/her hands and reapplied gloves and applied the skin prep around the wound, and applied the [MEDICATION NAME] AG to the Allevyn dressing and placed it directly on the wound bed. The brief was refastened and the resident was made comfortable. The LPN bagged the trash and removed his/her gloves and washed his/her hands. During an interview on 3/23/2018 at approximately 2:22 PM LPN #2 confirmed that the sacral decubitus was cleaned from top to bottom. He/she went on to say that because of the location of the wound it was hard to clean it in a circular motion from inside out. 2020-09-01