cms_SC: 6583

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.

Data source: Big Local News · About: big-local-datasette

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
6583 FLORENCE REHAB & NURSING CENTER 425163 133 WEST CLARKE ROAD FLORENCE SC 29501 2014-06-19 272 D 0 1 T4HW11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the day of the survey based on observation, record review and interview the facility failed to accurately assess functional capability for 1 of 3 residents reviewed for assessments related to range of motion. There was no evidence of a contracture assessment related to potential contractures for Resident #25's hands. The findings included: Resident #25 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Observations of Resident #25 throughout the days of the survey revealed apparent contractures of both hands. Observation on 6/16/2014 at 3:45 PM revealed Resident #25 in bed asleep with both hands in a closed fist position on top of his/her stomach area. Observation on 6/17/14 at 8:50 am and on 6/18/14 at 9:00 am revealed both hands to be clenched in a fist. Observation of Resident #25 on 6/19/14, following the lunch meal, revealed the resident could feed self with his/her left hand using a spoon. Review of the current Care Plan dated 4/7/14 revealed Resident #25 required assistance with activities of daily living. Goal approaches included: PROM (passive range of motion) with ADL (activities of daily living) care daily. Review of Physical Therapy assessment dated [DATE] documented impaired for upper left and right extremities. During an interview with the OTR (Occupational Therapist) on 6/19/14 at approximately 1:55 PM revealed Resident #25 had been discharged from Physical Therapy on 5/6/14. Further interview revealed Resident #25 had not been assessed by Occupational Therapy because the resident had good upper body strength. The OTR verified both hands were contracted and the right hand was more so than the left. S/he also stated that Resident #25's hand contractures had gotten worse because the resident could open both hands upon admission to the facility. When asked if Resident #25's hand contractures had been assessed for the need of additional intervention, the OTR stated No, they have not. ? 2017-12-01