cms_SC: 5237

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
5237 ABBEVILLE NURSING HOME, INC. 425057 83 THOMSON CIRCLE ABBEVILLE SC 29620 2016-06-16 157 D 0 1 PY4411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to notify the physician/nurse practitioner and/or other qualified professional of significant weight loss for Resident #12, 1 of 3 residents reviewed for nutrition. The findings included: The facility admitted Resident #12 with [DIAGNOSES REDACTED]. During the Stage I Census Record review at 5:14 PM on 6/13/16, Resident #12 was noted to have a significant weight loss. On 6/16/16 at approximately 3:15 PM, record review revealed the resident's weight on 6/15/16 was 96.0, on 6/1/16 96.7 pounds, on 5/04/16 106.1 pounds, on 3/08/16 109.0 pounds and on 11/4/15 110.2 pounds. Review of the Nurse's Notes revealed no documentation that the physician, family or Registered/ Licensed Dietitian was notified of the resident's significant weight loss. There was no documentation of any recent changes in dietary intake or [MEDICAL CONDITION], diarrhea or vomiting. Record review revealed the RD completed an assessment dated [DATE] and noted the resident consumed 50-75% of meals and recommended ReadyCare. The RD had not re-assessed the resident related to the significant weight loss. During an interview at 2:59 PM on 06/16/2016, the Certified Dietary Manager (CDM) reviewed the weight sheets and stated that Resident #12 was not on the list for weight loss and that a weight for (MONTH) had not been recorded. When informed that the resident's weight on (MONTH) 1st was 96.7 pounds, the CDM stated and that's a major loss. The CDM stated for a resident under 100 pounds, a re-weight is done if there is a difference of 3 pounds and the unit manager notified. The CDM stated that s/he would then be notified and in turn notify the RD. In addition, the CDM stated the RD had been at the facility on 6/15/16 and had not been informed. During an interview at 3:27 PM on 06/16/2016, the Director of Nursing (DON) provided documentation of the (MONTH) weights but stated that the Dietary manager informed her that she had not received the weights. The Dietary Manager usually receives the monthly weight sheets, inputs the information into the computer which calculates the percentage of weight loss. The computer generates a report of significant weight losses. The DON confirmed that the RD did not have access to that report when she was at the facility yesterday. The RD usually comes weekly. The DON also confirmed the MD was not notified of the weight loss until today. 2019-02-01