cms_SC: 1929

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
1929 LIFE CARE CENTER OF HILTON HEAD 425147 120 LAMOTTE DRIVE HILTON HEAD ISLAND SC 29926 2018-05-02 698 E 0 1 KRST11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to provide care and services consistent with professional standards of practice for 1 of 2 sampled residents reviewed for [MEDICAL TREATMENT]. The facility failed to adhere to a physician-ordered fluid restriction and failed to monitor the [MEDICAL TREATMENT] for Resident #23. The findings included: The facility admitted Resident #23 with [DIAGNOSES REDACTED]. Review of Nurses Notes at 8:12 AM on 3-23-18 revealed the resident had been hospitalized from 1-27-18 to 2-12-18. Record review on 3-22-18 at 4:30 PM revealed readmission physician's orders [REDACTED]. Observations revealed that the resident had water at the bedside on 3-21-18 at 12 PM and 4:21 PM. At 10:45 AM on 3-22-18, the resident had a can of soda on his/her overbed table. At 4:20 PM, Resident #23 was observed in the hallway outside his/her room drinking from a styrofoam cup. When asked if the staff were keeping track of what s/he drank, the resident stated that s/he could get something to drink when s/he wanted. When asked if the staff wrote down what s/he drank anywhere, the resident stated s/he did not think so. Further record review revealed no evidence of ongoing monitoring the resident's intake. Review of the diet card on 3-22-18 at the evening meal with the Director of Nursing (DON) revealed instructions for the fluid restriction but not how much was to be supplied with each meal. During an interview at 6:25 PM on 3-22-18, Licensed Practical Nurse (LPN) #1 verified that Resident #23 was on a 1200 cc fluid restriction. When asked how s/he knew how much s/he could give on her/his shift, the nurse stated, We do 12 hours, so I can do 600 cc. LPN #1 reviewed the record and verified that there were no specific orders for provision of fluids by dietary and nursing. When asked how s/he was keeping track of the intake, LPN #1 verified there was no intake record in the Medication Administration Record [REDACTED]&O sheet). We will start it today. During an interview at 10:26 AM on 3-23-18, the Certified Dietary Manager (CDM) stated that dietary had provided 1200 cc fluids daily prior to 3-22-18. The CDM confirmed that the diet card did not indicate how much was to be provided each meal. Further review on 3-22-18 at 4:30 PM revealed physician's orders [REDACTED]. 2-12-18 Nurses Notes, reviewed at 8:12 AM on 3-23-18 also documented that thrill and bruit were to be monitored every shift. On 2-13-18, Nurses Notes documented an AV shunt to the right chest and on 2-14-18, nurses documented a portacath to the right chest. Review of the Medication and Treatment Administration Records on 3-23-18 at 10:03 AM revealed no record of ongoing monitoring of any type of [MEDICAL TREATMENT]. During an interview on 3-23-18 at 10:39 AM with the corporate consultant present, the DON verified that Resident #23 had a portacath and checking thrill and bruit was not appropriate. The DON confirmed there was no evidence of assessment and monitoring of the [MEDICAL TREATMENT] in the Nurses Notes or on the 2-18 Medication Administration Record. Review of the [MEDICAL TREATMENT] Communication Forms revealed no reference to ongoing lab(oratory) monitoring while at the [MEDICAL TREATMENT] clinic. No [MEDICAL TREATMENT] lab results were noted in the record. During an interview on 3-23-18 at 10:30 AM, the DON stated,I haven't seen any. Review of the Care Plan at 9:41 AM on 3-23-18 revealed a problem related to [MEDICAL CONDITION]. Interventions did not include ongoing communication with [MEDICAL TREATMENT] or monitoring of the access site. During an interview on 3-23-18 at 11:36 AM, the DON verified the contents of the Care Plan. The DON consulted the Minimum Data Set Coordinator who reviewed the care plan and stated the care plan in the chart was not current-it had been updated on 2-27-18 in the computer but had not been placed on the chart. 2020-09-01