cms_SC: 4033
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4033 | PRUITTHEALTH-BLYTHEWOOD | 425400 | 1075 HEATHER GREEN DRIVE | COLUMBIA | SC | 29229 | 2017-09-15 | 278 | D | 1 | 1 | 4HVH11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observations, interviews, record review, and review of the Resident Assessment Instrument (RAI) Manual, Version 1.14, Chapter 3, the facility failed to accurately code Sections C and D on the Minimum Data Set (MDS) assessments for 1 of 1 sampled resident reviewed for hospice and 1 of 4 sampled residents reviewed for choices. Based on the incorrect coding, the mood interview was not attempted/conducted with Resident #178 and the Brief Interview for Mental Status (BI[CONDITION]) was not attempted/conducted with Resident #210. The findings included: The facility admitted Resident #210 with [DIAGNOSES REDACTED]. Closed record review on 9-9-17 at 12 PM revealed that the 5-11-17 Admission/5 Day Minimum Data Set (MDS) Section B was coded that Resident #210 had unclear speech, was sometimes understood and sometimes had the ability to understand others. Under Section C, Cognitive Patterns, the BI[CONDITION] interview was not attempted/conducted because the resident was noted as rarely/never understood. A staff assessment was conducted on Resident #210. The resident mood, preferences for customary routine and activities, and pain interviews were conducted. During an interview on 9-9-17 at 12:20 PM, MDS Coordinator #2 stated that Social Services was responsible for completion of the BI[CONDITION]. S/he reviewed Sections B and C of the MDS and verified the coding. MDS Coordinator #2 stated, The interview should have been attempted. Question #1 was coded wrong. The Resident Assessment Instrument (RAI) Manual, Version 1.14, page C-1, related to the BI[CONDITION], states: Steps for Assessment 1. Determine if the resident is rarely/never understood verbally or in writing. If rarely/never understood, skip to C0700 - C1000, Staff Assessment of Mental Status . Code 0, no: if the interview should not be attempted because the resident is rarely/never understood, cannot respond verbally or in writing, or an interpreter is needed but not available. Skip to C0700, Staff Assessment of Mental Status. Code 1, yes: if the interview should be attempted because the resident is at least sometimes understood verbally or in writing . The facility admitted Resident # 178 for hospice care and services with [DIAGNOSES REDACTED]. Observation conducted on 09/07/2017 at 8:45 AM revealed that Resident #178 understood and was able to answer simple questions, such as Are you in pain? or Are you cold? to which s/he responded, No. Review of the 07/25/2017 Admission Minimum Date Set on 09/08/2017 at 7:55 AM revealed that Resident #178 was coded as having unclear speech and sometimes understands and sometimes understood. However, in Section D of the MDS the resident interview was not conducted as required. During an interview on 09/09/2017 at approximately 3:15 PM, MDS Coordinator #2 reviewed Section B and D of the MDS and confirmed that an interview should have been conducted. S/he also stated that Social Services was responsible for completing Section D. During an interview on 09/08/2017, Social Services #1 was unable to provide documentation or a valid reason for not conducting the interview with the resident. Social Service #1 added that s/he did not know why the interview was not completed. | 2020-09-01 |