cms_SC
Data source: Big Local News · About: big-local-datasette
35 rows where "inspection_date" is on date 2012-09-26
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Suggested facets: facility_name, facility_id, address, city, zip, deficiency_tag, scope_severity, complaint, standard, eventid, filedate, filedate (date)
| Link | rowid ▼ | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7586 | 7586 | MYRTLE BEACH MANOR | 425070 | 9547 HIGHWAY 17, NORTH | MYRTLE BEACH | SC | 29572 | 2012-09-26 | 155 | D | 0 | 1 | CTH411 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on record review and interview, the facility failed to afford Resident #7 the right to formulate an advance directive.(1 of 13 residents reviewed) The findings included: The facility admitted Resident #7 with [DIAGNOSES REDACTED]. Review of the medical record on 9/24/12 revealed a document titled Preferred Intensity of Medical Care and Treatment signed by the resident's Power of Attorney. Further review revealed that the resident had not been deemed incompetent by two physicians to make health care decisions. The resident was a new admit and at the time of the survey was alert and oriented x 3. On 9/26/12, during an interview with the Unit Manager, he/she confirmed that there was no paperwork on the chart to authorize another to make healthcare decisions for the resident. | 2016-12-01 |
| 7587 | 7587 | MYRTLE BEACH MANOR | 425070 | 9547 HIGHWAY 17, NORTH | MYRTLE BEACH | SC | 29572 | 2012-09-26 | 156 | C | 0 | 1 | CTH411 | On the days of the survey, based on review of residents' funds and interview, the facility failed to complete the required Centers for Medicare and Medicaid Services (CMS) Form, The Medicare Liability Notices and Beneficiary Appeal Rights and further failed to complete 3 of 3 mandated Liability Notices: Skilled Nursing Facility Advanced Beneficiary Notices (SNFABN) in a timely manner for three of three residents. The findings included: On 09-26-12 at approximately 11:45 AM, review of 3 of 3 residents' funds revealed the facility had not completed the required CMS Form, The Medicare Liability Notices and Beneficiary Appeal Rights or the mandated SNFABNs in a timely manner. During an interview on 09-26-12 at approximately 11:45 AM with the Director of Social Services, she revealed she had not been using the required CMS Form and had not been informed to use the SNFABN form. | 2016-12-01 |
| 7588 | 7588 | MYRTLE BEACH MANOR | 425070 | 9547 HIGHWAY 17, NORTH | MYRTLE BEACH | SC | 29572 | 2012-09-26 | 157 | D | 0 | 1 | CTH411 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey based on record review and interview, the facility failed to ensure that the Responsible Party was notified for a change in the Resident's condition per policy entitled Change in a Resident's Condition or Status for one of thirteen Resident's reviewed for medication changes or transfer to the emergency room . The findings included: Resident # 2 was admitted with [MEDICAL CONDITION], Bladder Spasms, [MEDICAL CONDITION] and [MEDICAL CONDITION]. During a record review on 9/24/12 at 3:10pm, the record revealed a Telephone Order dated 5/26/12 for [MEDICATION NAME] 5 milligrams twice a day and a Telephone Order dated 6/9/12 for Transport to ER (emergency room ) for evaluation and tx. (treatment). During an interview on 9/25/12 at 10:45am, the Unit Supervisor was unable to verify written documentation of Representative notification of a change in Resident's medication orders or the order to transport the Resident to the emergency room . Review of the policy Change in a Resident's Condition or Status on 9/26/12 at 5:30pm, the policy stated Our facility shall promptly notify the resident, his or her attending physician, and representative (sponsor) of changes in the resident's medical/mental condition and/or status. Policy also stated The nurse supervisor/charge nurse will record in the resident's medical record information relative to changes in the resident's medical/mental condition or status. | 2016-12-01 |
| 7589 | 7589 | MYRTLE BEACH MANOR | 425070 | 9547 HIGHWAY 17, NORTH | MYRTLE BEACH | SC | 29572 | 2012-09-26 | 253 | E | 0 | 1 | CTH411 | On the days of the survey, based on observation and interview, the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary and comfortable interior for 3 of 3 units. The findings included: On 9/24/12 at 3:05 PM, the following was observed: 1) dusty ceiling fan noted in the dining room porch area; 2) dusty vents noted in the following bathrooms - 602, 603, 605, 606, 607, 608, 610, 611, and 612; 3) 2 ceiling vents in dining area dusty; On 9/25/12 at 10:15 AM, the following was observed: 4) dusty vent noted in the following bathrooms - 404, 101, 102, 103, 104, 301, 302, 303, 201, 202, 207, 208, 209, 210, 211, 212, 213; on 9/24/12 at 3:25 PM and 9/25/12 at 10:40 AM, dust build-up was noted on vent in room 205; 5) dust build-up noted on wall vent across from 402; On 9/25/12 at 11:00 AM, the following was observed: 6) two dusty ceiling vents in the shower room on the 600 Hall; 7) dust noted on the ceiling vents in the shower room on the 200 Hall. Environmental rounds were made with the Maintenance Director on 9/26/12 and during that time, he/she confirmed the dust build-up on the vents. He/she stated at that time that when the bathrooms are cleaned daily, that the vents should be cleaned also. Cleaning schedules were not provided during the survey. A work schedule with steps for exhaust fans was provided which states to clean vents using vacuum and air compressor, when needed to remove all dust. | 2016-12-01 |
| 7590 | 7590 | MYRTLE BEACH MANOR | 425070 | 9547 HIGHWAY 17, NORTH | MYRTLE BEACH | SC | 29572 | 2012-09-26 | 280 | D | 0 | 1 | CTH411 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on record review and interview, the facility failed to update the care plan for one of eleven sampled Residents for review of care plans. The findings included: Resident #8 admitted with the [DIAGNOSES REDACTED]. During a record review on 9/26/12 at 10:20am, the Nurse's Notes dated 9/16/12 stated the Resident fell in the day room and on 9/20/12 the Nurse's Notes dated 9/20/12 stated the Resident fell and hit her head on the bedside table. During a record review on 9/26/12 at 11:07am, the Care Plan noted Resident #8 was at risk for falls related to poor safety awareness and unsteady gait. No new interventions were noted on the Care Plan after the 9/16/12 or 9/20/12 falls. During an interview with the Medicare Coordinator on 9/26/12 at 11:05am, he/she stated the Resident is Supervised. The Medicare Coordinator reviewed the care plan and was not able to verify that the care plan was updated with a new intervention for the 9/16/12, and 9/20/12 falls. During a review of the policy on 9/26/12 at 12:15pm, entitled Resident Fall Management Guidelines, the procedure stated under #6 to Develop and implement an immediate intervention plan to prevent recurrence (utilize Fall Investigation Worksheet). The policy also stated under #9 The interdisciplinary team reviews all resident falls within 24-72 hours to evaluate the circumstances and probable cause(s) for the fall then modifies and implements a care plan to prevent repeat falls. | 2016-12-01 |
| 7591 | 7591 | MYRTLE BEACH MANOR | 425070 | 9547 HIGHWAY 17, NORTH | MYRTLE BEACH | SC | 29572 | 2012-09-26 | 281 | E | 0 | 1 | CTH411 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on record review and interview, the facility failed to provide services that meet professional standards of quality. Resident's #1, #7, and #9 with transcription errors and Resident #3 with no order written to discontinue laboratory test. Resident #7 administered [MEDICATION NAME] every day instead of every other day. The findings included: The facility admitted Resident #1 with [DIAGNOSES REDACTED]. Record review revealed discharge orders from the hospital on [DATE] for Epoetin Alfa([MEDICATION NAME]) to be given every 3-4 weeks. Review of the admission orders [REDACTED]. Further review of the record revealed no clarification order for the Epoetin Alpha. During an interview with the Unit Manager on 9/26/12, he/she stated that the Epoetin Alfa was to be administered in the physician's office. The facility admitted Resident #7 with [DIAGNOSES REDACTED]. Record review revealed discharge orders from the hospital on [DATE] for Multivitamins with Minerals daily; [MEDICATION NAME] 5 mg(milligrams), and [MEDICATION NAME] 250 mg every 48 hours times 3 more doses. Further review revealed Multivitamins with Minerals and [MEDICATION NAME] were not transcribed on the Medication Administration Record. Review of the Medication Administration Record [REDACTED]. During an interview with the Unit Manager on 9/26/12, he/she stated that the Multivitamin had not been transcribed and that she had spoken to the family member and had been told that the resident did not do well on [MEDICATION NAME]. Further record review revealed no clarification order for the Multivitamin and [MEDICATION NAME]. The facility admitted Resident #9 with [DIAGNOSES REDACTED]. Record review revealed discharge orders from the hospital on [DATE] for [MEDICATION NAME] Acid 500 mg daily. Further review of the physician orders [REDACTED]. During an interview with the Unit Manager on 9/26/12, he/she confirmed the [MEDICATION NAME] Acid had not been transcribed.… | 2016-12-01 |
| 7592 | 7592 | MYRTLE BEACH MANOR | 425070 | 9547 HIGHWAY 17, NORTH | MYRTLE BEACH | SC | 29572 | 2012-09-26 | 323 | E | 0 | 1 | CTH411 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on record review, observation, and interview, the facility failed to ensure that the environment remain as free from hazards as possible and each resident receive adequate supervision to prevent accidents. The salon was unlocked with multiple hazardous materials unsecured. A housekeeping cart was observed with scissors on top of the cart. Resident #8 with falls with no interventions implemented for 1 of 11 residents reviewed for falls. The findings included: On 9/25/12 at 10:00 AM, a housekeeping cart was noted in front of the conference room with sharp scissors observed on top of the cart. At 10:05 AM, the housekeeper visited the cart and left the cart for approximately two minutes. The housekeeper moved the cart and again left the cart for approximately two minutes times two. The cart was not seen again with the scissors. On 9/25/12 at 11:10 AM, the salon was noted to be unlocked. Further observation revealed the following items unsecured in the salon: 1) (3) partially filled 15.2 fluid(fl) ounces(oz) of Revlon Fanciful Rinse 2) (3) partially filled 11 oz bottle of Revlon Fanciful Rinse 3) (1) 7 oz Isopluse 24h(hour) Holding Spray 4) (1) 6 oz Sure Regular Scent Antiperspirant 5) (3) 7 oz. White Rain and 1 Unscented Extra Hold Hairspray 6) (1) 8 oz. CT Procleaner Hair Care Solution 7) (1) 8 oz. CT Fragrance Free Enriched Conditioner 8) (1) 3 oz. Amber Dusting Powder 9) (1) 8 oz. Connela Design and Shine 10) (1) gallon Faberge Ultra Hold Professional Fast Drying Sculpting Hair Spray 11) (2) 6 oz. Fanciful Color Styling Mousse 12) (1) 8.5 oz Purology Serious Color Care 13) (1) 9 oz. Pinaud Club Man Finest Talc 14) (1) 15 oz. VO5 Volume Conditioner 15) (1) 14 oz. Suave Sleek Conditioner/&Total Conditioner 16) (1) 2 oz. Body /Hand Lotion 17) (1) 11 oz. Gillette Foaming Lotion 18) (1) 8 oz. Carolina non-aerosol Spray Mousse 19) (1) 8 oz. Perineal Wash 20) (1) 8.5 oz Nucleica Transfix Spray Gel 21) (1) 15 oz Suave … | 2016-12-01 |
| 7681 | 7681 | PEPPER HILL NURSING & REHAB CENTER, LLC | 425308 | 3525 AUGUSTUS ROAD | AIKEN | SC | 29802 | 2012-09-26 | 174 | C | 0 | 1 | GIN311 | On the days of the survey through observation and group interview, the facility failed to provide a telephone that was readily accessible to residents that do not have phones to make calls. The findings included: On 09/25/12 at approximately 2 pm during the group meeting, the residents were asked how they made calls and was privacy maintained during the calls. Some residents had cells phones and stated there was no problem. The residents that did not have phones stated they made calls at the nurses station, or social services office and there was a portable phone they could use but it did not work in certain areas and would have a lot of interference or would cut off. Interview on 09/26/12 with Social Services Director (SSD) and the Director of Nurses (DON) confirmed that residents do make their calls at the nurses station or in the social services office. The DON also stated that the portable phone worked well on the 300 unit but did not function properly on the other units and got a cell phone for residents that needed to make calls, but also confirmed it was locked up in the medication room on unit 300 and not all residents were aware of the cell phone. | 2016-12-01 |
| 7682 | 7682 | PEPPER HILL NURSING & REHAB CENTER, LLC | 425308 | 3525 AUGUSTUS ROAD | AIKEN | SC | 29802 | 2012-09-26 | 323 | D | 0 | 1 | GIN311 | On the days of the survey based on observation and interview, the facility failed to provide a hazard free environment for 1 of 1 resident's oxygen portable tank by not having it secured to prevent an accident. The findings included: On 09/25/12 at approximately 10 am during the initial tour of the Dogwood unit and again on 09/26/12 at approximately 9:30 am one unsecured small portable oxygen tank in a black cover observed leaning against the wall between the head of the bed and oxygen concentrator machine in a resident's room. The resident was not using the oxygen at the time these observations were made. Interview with Licensed Practical Nurses #1 and #2 on 09/26/12 at approximately 10 am confirmed the observation and both stated that they were not aware of safety protocol to have oxygen tanks secured for safety. | 2016-12-01 |
| 7683 | 7683 | PEPPER HILL NURSING & REHAB CENTER, LLC | 425308 | 3525 AUGUSTUS ROAD | AIKEN | SC | 29802 | 2012-09-26 | 371 | E | 0 | 1 | GIN311 | On the days of the survey, based on observations, interviews, and review of the facility's policies the facility failed to ensure safe dietary practices as evidenced by failing to do the following: clean food from the floor in the walk-in freezer, remove molded food, and sanitize a thermometer between food items. The findings included: On 9-24-12 at approximately 10:00 AM during a tour of the dietary department/kitchen area with dietary employee #1 it was observed in the walk in freezer three ounce containers of ice cream on the floor under the far wall storage rack and 2 molded cantaloupes in the walk-in refrigerator. On 9-24-12 at approximately 12:00 PM during the lunch meal preparation, dietary employee #1 took the temperature of 9 separate food items with a temperature probe. After each food item temperature was taken dietary employee #1 put the stem of the thermometer in a cup of tap water and wiped the stem off with the same paper towel for all 9 food items. On 9-25-12 at approximately 10:30 AM during a walk around the dietary/kitchen department with the Dietary Manager (DM) and dietary employee #1 an observation was made in the walk in freezer of 4, three ounce containers of ice cream on the floor under the far wall storage rack along with 1 carton of Morning Side vegetarian frozen food. The DM and dietary employee verified the freezer had not recently been cleaned. Also, during an interview after the walk around dietary employee #1 explained the method used for taking the temperature of the 9 food items for the 9-24-12 lunch meal and the DM stated, The stem of the thermometer should have been sanitized with an alcohol swab between each food item. On 9-26-12 at approximately 12:00 PM review of the facility policy, Cleaning Procedures: Major Equipment revealed under Procedure: 1.) Sweep and mop floors of walk - in freezer weekly or more frequently, if needed. Further review of the facility policy entitled Food Safety, section Procedure: Proper Use of Thermometers, revealed under Procedure: (1.) The followin… | 2016-12-01 |
| 7684 | 7684 | PEPPER HILL NURSING & REHAB CENTER, LLC | 425308 | 3525 AUGUSTUS ROAD | AIKEN | SC | 29802 | 2012-09-26 | 372 | E | 0 | 1 | GIN311 | On the days of the survey, based on observations, interviews, and review of the facility's policies the facility failed to dispose of garbage and refuse properly as evidenced by failing to close the dumpster doors. The findings included: On 9-24-12 at approximately 10:00 AM during the Initial Tour an observation was made of two dumpster's outside behind the dietary department. The left dumpster's door was completely open and contained multiple bags of trash. On 9-25-12 at approximately 10:30 AM during a walk around the dietary department and dumpster area with the Dietary Manager (DM) and dietary employee #1 an observation was made again of the left dumpster's door being open with multiple bags of trash. During an interview after the observation the DM verified this observation and stated The doors should always be closed. On 9-25-12 at approximately 1:05 PM a random observation was made of the right dumpster door open with multiple bags of trash. On 9-26-12 at approximately 9:00 AM another random observation revealed the right and left dumpster doors were open. On 9-26-12 at approximately 12:30 PM review of the facility policy , Waste disposal, revealed under Procedure: (5.) Keep dumpster lids closed at all times. | 2016-12-01 |
| 7685 | 7685 | PEPPER HILL NURSING & REHAB CENTER, LLC | 425308 | 3525 AUGUSTUS ROAD | AIKEN | SC | 29802 | 2012-09-26 | 502 | D | 0 | 1 | GIN311 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on record review, and an interview, the facility failed to follow Physicians Orders for 1 of 1 resident reviewed for stool specimens for [MEDICAL CONDITION]. The facility did not collect a [MEDICAL CONDITION] stool specimen in a timely manner. The finding included: On 9-10-12 the facility admitted Resident #11 with [DIAGNOSES REDACTED]. On 9-24-12 at 3:45 PM a review of the Physicians Orders revealed on 9-20-12 at 2:30 PM an order for [REDACTED].dated 9-20-12 revealed Stool Specimen. as an updated approach. Further review of the nurses notes revealed the resident was charted as being incontinent and having a large watery bowel movement on 9-21-12 at 8:22 PM with the nurse notified, and on 9-22-12 another incontinent extra large soft formed bowel movement was recorded on the Bowel and Bladder II flow chart. No specimen was collected during these bowel movements. On 9-23-12 at 6:30 AM a specimen was obtained and tested positive for [MEDICAL CONDITION], the resident was then was placed in isolation and put on contact precautions. On 9-25-12 at approximately 12:45 PM the unit manager Registered Nurse (RN) #1 verified the Physician order [REDACTED]. | 2016-12-01 |
| 7686 | 7686 | LIFE CARE CENTER OF COLUMBIA | 425337 | 2514 FARAWAY DRIVE | COLUMBIA | SC | 29223 | 2012-09-26 | 241 | D | 0 | 1 | 0W3H11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on observation, record review, interview, and review of the Pioneer Network New Dining Practice Standards, the facility failed to maintain and enhance each resident's dignity and respect for 1 of 1 sampled resident with a urinary catheter without a dignity bag cover, Resident #2, and for residents at 1 of 4 tables being served meals with trash and plate covers in the center of the table. The findings included: Resident #2 was admitted with [DIAGNOSES REDACTED]. On 9/24/12 at 5:15PM Resident #2 was observed lying in bed with the urine catheter bag hanging off the side of her bed facing the door without a dignity bag for cover. On 9/25/12 at 9:40AM Resident #2 was receiving therapy in her room. The staff conducting the therapy was holding the urine catheter bag in one hand without a dignity bag. The door to the room was open and the care given was observed. At 2:25PM the urine catheter bag was again observed without a dignity bag. An interview on 9/25/12 at 9:15AM with Social Worker #1 stated residents are supposed to have a dignity bag to cover catheter bags. On 9/25/12 at 9:21AM Registered Nurse #1 confirmed no dignity bag used to cover resident's urine catheter bag. During a random observation of of dinner on 9/24/12 at approximately 4:55 PM the surveyor observed residents in the 200 dining/day room at a table eating. Further observation revealed tray lids from the tray on the center of the table with trash in it. Observation on 9/25/12 during a lunch revealed tray lids on the table with trash inside of them while residents were eating. During an interview with Certified Assistant #1 she confirmed the findings and then removed the lids. The New Dining Practice Standards states Food and dining are an integral part of individualized care and self-directed living for several reasons, including: (1) the complexity of food and dining requirements when advancing models of culture change; (2) the importance of food … | 2016-12-01 |
| 7687 | 7687 | LIFE CARE CENTER OF COLUMBIA | 425337 | 2514 FARAWAY DRIVE | COLUMBIA | SC | 29223 | 2012-09-26 | 371 | F | 0 | 1 | 0W3H11 | On the days of the survey, based on observation and interview, the facility failed to promote a sanitary environment to store, prepare, distribute, and serve food in the kitchen as evidenced by staff without beard guard, a soiled microwave, soiled pots, pans, and equipment, soiled ovens, and uncovered clean equipment. The findings included: On 9/24/12 at 10:40AM during the Initial Tour of the Kitchen the surveyor observed the Certified Dietary Manager (CDM) with facial hair, and without a beard guard. On 9/24/12 at 1:50PM tour of the kitchen revealed a slicer covered with a white substance. The pot and pan shelf revealed long, shallow pans with a white substance on the inside and outside of multiple pans. The white substance was slimy to the touch. A cooling rack was revealed on the dry pan shelf with food splatter and debris. The standing and griddle/stove ovens revealed food splatter and debris on the inside and hanging from the oven racks. The griddle/stove revealed drip pans with built up food splatter, dust, and debris. Covers were not observed on any clean equipment. Trash and debris were observed in the drain under the two compartment sink. The kitchen microwave was observed with gray colored spots on the top of the inside of the microwave. On 9/25/12 at 3:30PM the surveyor conducted a kitchen walk through with the Assistant Dietary Manager who confirmed the soiled microwave, the splatter, dust, and debris on the drip pans, the soiled ovens, the uncovered clean equipment, soiled slicer, soiled pans, and cooling rack on dry shelf, and trash in drain under two compartment sink. On 9/26/12 at 9:10AM the CDM was again observed with facial hair, and without a beard guard. | 2016-12-01 |
| 7688 | 7688 | LIFE CARE CENTER OF COLUMBIA | 425337 | 2514 FARAWAY DRIVE | COLUMBIA | SC | 29223 | 2012-09-26 | 465 | F | 0 | 1 | 0W3H11 | On the days of the survey, based on observation and interview, the facility failed to provide a safe, functional, sanitary, and comfortable environment in 2 of 2 Nourishment Rooms, Unit 400 Dining room and in the Ice Cream Parlor as evidenced by soiled microwaves, sticky substance in a refrigerator, soiled ice machine, and soiled Popcorn machine. The findings included: On 9/24/12 at 2:12PM and on 9/25/12 at 2:45PM during Environmental Tour of Unit 400 Dining Room the microwave was observed with orange and yellow colored splatter on all inside surfaces. The refrigerator was observed with plastic grocery bags sticking to the top shelf by a clear substance. On 9/24/12 at 2:25PM and on 9/25/12 at 1:45PM the Unit 200 Nourishment Room revealed food splatter on the top of the inside of the microwave. The ice maker revealed a black and brown substance on the inside to the top of the ice maker on the white plastic cover and on the sides where the white plastic cover touched the machine. On 9/24/23 at 2:34PM the Unit 300 Nourishment Room revealed the top of the ice machine to be screwed shut. On 9/24/12 at 5:15PM and on 9/25/12 at 2:40PM the Popcorn Machine in the Ice Cream Parlor was observed to have unpopped kernels underneath the metal bottom and black substance surrounding the top of the popping canister. On 9/26/12 at 9:25AM Environment walk through and interview with Registered Nurse (RN)#2 confirmed the Unit 400 Dining Hall soiled microwave and refrigerator, the Unit 200 Nourishment Room soiled ice maker and microwave, that the Unit 300 Nourishment room ice machine was screwed shut, and the soiled Popcorn machine. Concurrent interview revealed that the night shift is in charge of assigned out tasks for cleaning nourishment rooms and hall dining room equipment. | 2016-12-01 |
| 7802 | 7802 | OPUS POST ACUTE REHABILITATION | 425379 | 300 AGAPE DRIVE | WEST COLUMBIA | SC | 29169 | 2012-09-26 | 155 | D | 0 | 1 | JXWJ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification, Complaint and Extended Survey based on record reviews, interviews, and review of the policy provided by the facility entitled Do Not Resuscitate Order, the facility failed to ensure that 4 of 10 sampled residents reviewed for code status (Residents #1, #9, #21 and #22), were afforded the opportunity to formulate an advanced directive. Resident #1 had an EMS (Emergency Medical Services) DNR (Do Not Resuscitate) order signed by the Responsible Party (RP) without physician determination of inability to consent. Residents #9, #21 and #22 had DNR orders signed by the physician and RP prior to physician determination of the inability to consent. The findings included: The facility admitted Resident #1 with [DIAGNOSES REDACTED]. Record review on 9/25/12 revealed a Physician's Telephone Order dated 9/13/12 which stated DNR. Further review revealed an Emergency Medical Services (EMS) DNR Order that had been signed by the resident's Responsible Party (RP) and the physician on 9/13/12. Review of the facility's Guidelines for Resuscitative Services Section I dated 9/13/12 at 12:50 PM revealed the resident was a DNR- No Code. According to the print at the bottom of the page, the form is used for informational purposes only. Review of Social Services notes revealed information that the resident had been offered education on advanced directives at admission; and that .(Resident #1) is a DNR. There was no documentation to indicate that the resident had consented to the DNR status or that two Physician's had determined that Resident #1 was not able to consent prior to the DNR code status being implemented. During an interview on 9/25/12 at 11:15 AM, Registered Nurse (RN) #1 verified the above information. Review with RN #1 of the Physician's note dated 9/20/12 revealed nothing related to an advanced directive or ability/inability to consent. When asked, she was unable to state why the resident had not signed the EMS DNR Ord… | 2016-11-01 |
| 7803 | 7803 | OPUS POST ACUTE REHABILITATION | 425379 | 300 AGAPE DRIVE | WEST COLUMBIA | SC | 29169 | 2012-09-26 | 156 | E | 0 | 1 | JXWJ11 | On the days of the Recertification, Complaint and Extended Survey, based on review of Liability Notices and interview, the facility failed to provide the appropriate notice for 3 of 4 residents reviewed for change of payor source. The findings included: Review of the facility files for residents that converted from Medicare A to another payor source revealed three residents did not receive the appropriate form for conversion. The facility issued a CMS (Centers for Medicare and Medicaid Services) form number CMS-R-131. On conversion off of Medicare, the residents should have received a CMS- . On 9/26/12 at approximately 10:00 AM, the Administrator and the Corporate Compliance Officer were interviewed. They informed the surveyor they had been given the wrong form. They confirmed the residents had received the wrong conversion letter. | 2016-11-01 |
| 7804 | 7804 | OPUS POST ACUTE REHABILITATION | 425379 | 300 AGAPE DRIVE | WEST COLUMBIA | SC | 29169 | 2012-09-26 | 204 | J | 0 | 1 | JXWJ11 | Deficiency Text Not Available | 2016-11-01 |
| 7805 | 7805 | OPUS POST ACUTE REHABILITATION | 425379 | 300 AGAPE DRIVE | WEST COLUMBIA | SC | 29169 | 2012-09-26 | 281 | J | 0 | 1 | JXWJ11 | Deficiency Text Not Available | 2016-11-01 |
| 7806 | 7806 | OPUS POST ACUTE REHABILITATION | 425379 | 300 AGAPE DRIVE | WEST COLUMBIA | SC | 29169 | 2012-09-26 | 309 | G | 0 | 1 | JXWJ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification, Complaint and Extended Survey, the facility failed to provide the necessary care and services to attain the physical, mental, and psychosocial well-being for Residents #21, #20 and #8. Resident #21 with multiple instances of 4 days without a bowel movement was not thoroughly assessed by the staff or provided the necessary care he/she needed. Resident #20 from 06/26/2012 through 07/07/2012 was noted as incontinent of bowel, with no documentation of the characteristics of the bowel movements, that the physician was aware the resident was incontinent of stool or that the bowel movements were numerous and/or loose. Resident #8 with no followup on an order for [REDACTED].>The findings included: Resident #21 admitted with [DIAGNOSES REDACTED]. He/she was admitted to the facility for short term rehabilitation. Review of the CNA (Certified Nurse Aide) BM (bowel movement) Report revealed Resident #21 was not adequately monitored regarding his/her bowel movement. He/she had no BMs from 03/03/2012 through 03/07/2012 (4 days). From 03/28/2012 through 03/31/2012 (4 days) the resident had no BMS; on 04/01/2012 he/she had a loose BM with no documentation of the amount or consistency; his/her next BM was a formed BM on 04/02/2012 again no documented description of the BM. The next BM was on 04/08 and 09/2012 when the documentation of the BM stated loose. Resident #21 did not have a BM from 04/10/2012 through 04/13/2012 (4 days). The resident received Milk of Magnesia 30 cc by mouth two times a day for 72 hours per the physician's standing orders; there was no documentation that the physician was aware that the resident was not having regular bowel movement until 04/09/2012 when it was addressed in the Physician's Encounter notes. The resident complained of frequent nausea, a sore throat, had a poor appetite and refused medications at times from 03/09/2012 until 04/13/2012. The family asked for lab studies on 03/30/2012 and… | 2016-11-01 |
| 7807 | 7807 | OPUS POST ACUTE REHABILITATION | 425379 | 300 AGAPE DRIVE | WEST COLUMBIA | SC | 29169 | 2012-09-26 | 314 | G | 0 | 1 | JXWJ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification and Extended Survey, based on observations, interviews, record reviews, and review of the U.S. Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, treatment of [REDACTED].#2, #6 and #20). The findings included: Nursing documentation on 06/21/2012 revealed that Resident #20 was admitted to the facility with a stage I pressure ulcer to the sacral area measuring 6 centimeter (cm) x 5.2 centimeters; a stage 1 pressure ulcer to the right buttocks measuring 3 centimeters x 2.8 centimeters described as pink and non blanching. An area described as a 2nd degree burn was noted to the resident's right upper back. A stage 1 pressure ulcer was noted on the right heel measuring 4 centimeters x 3.7 centimeters and a stage 1 pressure ulcer on the left heel measuring 4 centimeters x 3.1 centimeters described as pink and non blanching. Review of the closed medical record revealed no orders for an air mattress during the resident's stay at the facility and heel boots were placed on 07/04/2012, 13 days after admission, to float the heels to prevent pressure. Review of the initial Dietary Assessment done on 07/03/2012 documented the resident's weight as 194.9 pounds and height as 66 inches. The note indicated the Registered Dietician (RD) recommended to the resident that he/she drink adequate fluids secondary to a possible bowel fluid alteration. The RD also recommended Ensure and gelatin three times a day and a multivitamin. The treatment to the sacral area from 06/21/2012 through 06/26/2012 was [MEDICATION NAME] cream every shift, applied by the CNAs; on 06/26/2012 the treatment to sacrum to be performed by the licensed staff, was changed to clean right and left buttock with normal saline and cover with Opitfoam non adhesive twice a day and as needed. The treatment to the sacral ulcer was changed on 07/03/2012 from twice a day to once a day. Review of the Physician's Foll… | 2016-11-01 |
| 7808 | 7808 | OPUS POST ACUTE REHABILITATION | 425379 | 300 AGAPE DRIVE | WEST COLUMBIA | SC | 29169 | 2012-09-26 | 325 | D | 0 | 1 | JXWJ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification, Complaint and Extended Survey, based on record reviews and interviews, the facility failed to provide optimal nutritional interventions for 2 of 10 sampled residents reviewed for nutritional status. Resident #6 did not receive followup on the Registered Dietician's (RD's) recommendation for increased nutritional support. Resident #5 was ordered a restricted diet while having poor PO (By Mouth) intake. The findings included: The facility admitted Resident #6 with [DIAGNOSES REDACTED]. Review of the facility's Medical Nutrition Therapy assessment dated [DATE] revealed the resident was on a Regular, no added salt diet with thin liquids. According to the assessment, Resident #6 had wounds, a stage I to the right heel, a stage III to the right lower extremity, and a stage IV to the sacrum. The summary stated the resident was consuming 75%-100% of trays (varied for breakfast). According to the notes, the resident needed increased protein for wounds and the diet and nutritional interventions were not adequate for nutrient needs. It documented a weight of 145.2 pounds for the resident on 8/15/12 (a 26% weight loss from March of 2012). The summary stated that the RD had notified the Hospice RN to increase the needs for wounds. Review of the hospital Clinical Nutrition Services note dated 8/2/12 revealed that while in the hospital, the resident had been on a heart healthy diet with magic cup and Ensure TID (Three times daily) and that interventions in place included food supplements. According to the note, the resident was eating all or greater than half of her food two times a day, and eating some of the magic cup. The note stated the resident had increased nutrient needs for protein that was ongoing and documented a weight of 169.6 pounds on 8/1/12. During an interview on 9/26/12 at 9:30 AM, the facility RD reviewed her 8/27/12 notes and stated she had notified the Hospice RN (Registered Nurse) on 8/27/12 or 8/28/1… | 2016-11-01 |
| 7809 | 7809 | OPUS POST ACUTE REHABILITATION | 425379 | 300 AGAPE DRIVE | WEST COLUMBIA | SC | 29169 | 2012-09-26 | 329 | D | 0 | 1 | JXWJ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On days of the Recertification, Complaint and Extended Survey, based on record review and interviews, the facility failed to ensure that each resident's drug regimen was free from unnecessary drugs. Residents #22, #6, #5, and #1. Resident #22 received a pain medication without adequate indications for its use and without adequate monitoring by the facility staff; Resident #6 was identified as having an allergy to [MEDICATION NAME] without an adequate assessment to determine if the allergy existed; Residents #5 and #1 received blood pressure medications outside of ordered perimeters. The findings included: Resident #22 was sampled related to a facility reported incident that indicated that a person who had stolen the identity of a physician provided medical services at the facility from 2/2012 until 8/2012 when he/she was discovered pratcing medicine without a valid license. The facility admitted Resident #22 with [DIAGNOSES REDACTED]. Review of the closed medical record revealed a physician's orders [REDACTED]. Review of Resident #22's hospital transfer summary did not list [MEDICAL CONDITION] or pain as a transferring diagnosis; the transfer summary medications did not include a pain medication. The transfer summary stated that the resident was seen for consultation by internal medicine, nephrology, and [MEDICAL CONDITION] medicine regarding concerns with cellulitus, [MEDICAL CONDITION] and sleep apnea. Review of the internal and [MEDICAL CONDITION] medicine consultations indicated no concerns related to [MEDICAL CONDITION]. Review of the Physician Encounter (visit) dated 06/14/2012 at 10:52 AM stated, . seen today for admission. The patient is admitted to skilled nursing facility. Transfer to our service was from the hospital . Patient was admitted to the service with volume overload, anasarca, recently in the hospital with 2-D echo showing ejection fraction of 75% with [MEDICAL CONDITION] . Patient made significant improvement although pat… | 2016-11-01 |
| 7810 | 7810 | OPUS POST ACUTE REHABILITATION | 425379 | 300 AGAPE DRIVE | WEST COLUMBIA | SC | 29169 | 2012-09-26 | 332 | E | 0 | 1 | JXWJ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification, Complaint and Extended Survey, based on observations, record reviews, interviews and the Drug Facts and Comparisons book (updated monthly), the facility failed to ensure that it was free of medication error rates of five percent or greater. The medication error rate was 7.84 %. There were 4 errors out of 51 opportunities for error. The findings included: Error #1: On 9/25/12 at 8:25 AM, during observation of the medication pass, Registered Nurse (RN) #4 drew up 10 units of 70/30 insulin which she administered to Resident #15's left upper arm at 8:57 AM. Review of the current physician (MD) orders for September 2012 revealed Resident #15 should have received 12 units of insulin. Error #2: On 9/25/12 at 9:35 AM, during observation of medication pass, RN #5 failed to punch [MEDICATION NAME] 0.1 mg (milligram) into the medicine cup after handing punch card to surveyor, who returned it, then RN signed off in the computer as prepared. As the RN was in the process of administering the medication cup to Resident #A, surveyor asked RN to exit room. Each pill in the medication cup was compared to the scheduled 9 AM medications on the cart for Resident A; RN confirmed [MEDICATION NAME] was not in the cup. Error #3: On 9/25/12 at 9:55 AM, during observation of medication pass, RN #5 failed to compress/close Resident #A's other nostril when instilling [MEDICATION NAME] Prop 50 mcg (microgram) spray, ordered for instill 1 spray in each nostril daily. The Drug Facts and Comparisons book (updated monthly), page 675a, states (in reference to administration technique for respiratory inhalant products: Intranasal Steroids): Instruct patients to close the other nostril with a finger and tilt head slightly forward while using. Error #4 On 9/26/12 at 8:05 AM, during observation of medication pass, RN #6 gave Resident B one Aspirin 81 mg tablet. Review of current physician (MD) orders for September 2012 revealed Resident #B shoul… | 2016-11-01 |
| 7811 | 7811 | OPUS POST ACUTE REHABILITATION | 425379 | 300 AGAPE DRIVE | WEST COLUMBIA | SC | 29169 | 2012-09-26 | 333 | J | 0 | 1 | JXWJ11 | Deficiency Text Not Available | 2016-11-01 |
| 7812 | 7812 | OPUS POST ACUTE REHABILITATION | 425379 | 300 AGAPE DRIVE | WEST COLUMBIA | SC | 29169 | 2012-09-26 | 365 | D | 0 | 1 | JXWJ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification, Complaint and Extended Survey, based on record review, observation and interview, the facility failed to provide food prepared in a form designed to meet individual needs. Resident #8 did not receive a pureed diet as ordered. 1 of 10 residents reviewed for diet orders. The findings included: Resident #8 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED].#8 had a physician's orders [REDACTED]. During observation on 9/24/12 at approximately 12:58 PM noted resident received a meal tray, which consisted of meat loaf, green beans, fruit cup and a roll. All items were noted to be regular texture, not pureed. Review of the resident's tray card revealed resident's diet as regular, NAS, NCS, NFF and thin liquids. Review of the Nutritional Progress Notes dated 9/4/12 at 10:40 AM revealed an entry related to the Registered Dietitian contacting the resident's power of attorney (POA) re: diet waiver requested for pt (patient) removing pureed, NTL, NAS. Diet waiver prepared 8/31/12 but as of this date no signature of POA. The note indicated the POA would sign the diet waiver on 9/4/12. Review of the Agape Senior Nursing and Rehabilitation Release of Responsibility form revealed the waiver was completed for pureed, NTL, NAS diet restrictions. The waiver was signed by Resident #8 on 8/31/12 and the resident's legal representative on 9/4/12. Review of the Medical Nutrition Therapy assessment dated [DATE] revealed Resident #8 was receiving a regular, NAS, NCS, NFF, diet with thin liquids. Review of the Physician's Telephone Orders revealed an entry by the Registered Dietitian on 9/24/12 at 7:04 PM Diet clarification: d/c (discharge) pureed, NTL, NAS, NCS, NFF - start reg (ular), thin, NCS, NFF. During interview on 9/26/12 at approximately 9:35 AM, the Registered Dietitian stated that he/she wrote an order on 9/24/12 to change the residents diet texture to regular with thin liquids because that is when he/she fo… | 2016-11-01 |
| 7813 | 7813 | OPUS POST ACUTE REHABILITATION | 425379 | 300 AGAPE DRIVE | WEST COLUMBIA | SC | 29169 | 2012-09-26 | 371 | F | 0 | 1 | JXWJ11 | On the days of the Recertification, Complaint and Extended Survey, based on observation and interview, the facility failed to store, prepare, distribute and serve food under sanitary conditions. The findings included: During initial tour of the main kitchen on 9/24/12 at approximately 9:30 am, noted the sugar bin lid was ajar leaving the contents not completely covered. Also noted there were two boxes of raw bacon on the top shelf of the reach in refrigerator, a plate of danish was located directly under the boxes of bacon. During tour of the main kitchen on 9/25/12 at approximately 11:00 am, noted a trash can in the kitchen not covered with a lid. Also noted a sanitizer bucket located at the 3 compartment sink. When staff checked the sanitizer level, the test strip indicated no sanitizer. Upon further observation, noted there were six cleaning cloths in the sanitizer bucket. Dietary Aide #1 stated that staff change the water when it gets dirty, there is no schedule for changing the water in the sanitizer bucket. Also noted two boxes of raw bacon on the top shelf of the reach in refrigerator, a pan of banana pudding was located directly under the boxes of bacon. There was also a box of raw chicken on an upper shelf, an open box of tomatoes was located directly under the box of chicken. The Kitchen Manager stated that he did not see any dripping when asked about the the boxes of raw bacon and raw chicken. The Kitchen Manager also stated that it was habit for kitchen staff and was something that he/she never looks at. Also noted that the vents on the ice machine had heavy dust build-up. The Kitchen Manager stated that the vents are cleaned every two months by a refrigeration company. When asked to see documentation of the last cleaning, received an invoice for 5/28/12. The Kitchen Manager then stated that the refrigeration company comes quarterly to clean the outside of the ice machine. The Kitchen Manager stated that kitchen staff clean the inside of the ice machine, but not the outside. During observation in the … | 2016-11-01 |
| 7814 | 7814 | OPUS POST ACUTE REHABILITATION | 425379 | 300 AGAPE DRIVE | WEST COLUMBIA | SC | 29169 | 2012-09-26 | 492 | F | 0 | 1 | JXWJ11 | On the days of the Recertification, Complaint and Extended Survey, based on observation and interview, the facility failed to provide services in compliance with State regulations related to food and food storage. The facility did not have an emergency food supply on hand. The findings included: During interview on 9/26/12 at 9:00 AM the Kitchen Manager stated that the emergency food supply was kept in the skilled nursing unit's kitchen. Upon entering the skilled nursing unit's kitchen, dietary staff stated that the emergency food supply was not kept there. Dietary staff further stated that the emergency food supply was kept in the assisted living kitchen. Upon entering the assisted living kitchen, the Kitchen Manager pointed out two shelves in the dry storage room and stated that those two shelves were the emergency food supply. There was no signage indicating the two shelves were set aside as emergency food supply. The Kitchen Manager also stated that staff does use food out of the supply. Review of the 2 shelves revealed 6 #10 cans of ketchup, 7 #10 cans of cheddar cheese sauce, 5 #10 cans of diced white potatoes, 4 #10 cans of banana pudding, 12 #10 cans of Italian green beans, 7 #10 cans of baked beans, 6 #10 cans of sliced yellow peaches, 6 #10 cans of stewed tomatoes, 5 #10 cans of pinto beans, 4 #10 cans of beef ravioli, 4 #10 cans of beef stew and 2 #10 cans of corned beef hash. A copy of the facility's Emergency Disaster Menu was reviewed and revealed the following: fruit juice (or fresh fruit), cold cereal, peanut butter, bread and milk (fresh first, then powdered) for breakfast; canned meat, canned potatoes, canned vegetable, canned fruit, bread and milk (powdered) or juice for lunch; canned meat or peanut butter, canned fruit, canned vegetable, cookies, bread and milk (powdered) for dinner. Snacks to include juice, punch, crackers, cookies, fresh fruit, cheese, etc. A copy of the facility's Emergency Food Supplies Ratio was reviewed and revealed that emergency food supplies should include bread, cann… | 2016-11-01 |
| 7815 | 7815 | OPUS POST ACUTE REHABILITATION | 425379 | 300 AGAPE DRIVE | WEST COLUMBIA | SC | 29169 | 2012-09-26 | 514 | E | 0 | 1 | JXWJ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification, Complaint and Extended Survey, based on record reviews and interviews, the facility failed to provide accurate medical records for 4 of 16 sampled residents. Resident #6 did not have allergies [REDACTED]. Resident #6 also had inaccurate documentation on an admission/readmission note related to the treatment of [REDACTED].#11 had conflicting information regarding [MEDICAL CONDITION] symptoms, with a lab, ultrasound, and wound assessment not on the chart. Resident # 10 had documentation with a conflicting code status. The findings included: Resident #10 was admitted with [DIAGNOSES REDACTED]. The resident's admission orders [REDACTED]. The Physician's Cumulative Orders for 9/1/2012 through 9/30/2012 had an order for [REDACTED]. The Resident's Care Plan dated 8/24/12, stated, Resident is a Full Code. Review of the Social Services notes revealed a note dated 8/8/12. The note stated, .(Resident) was offered education on Advanced Directives at admission. Resident is a DNR (Do Not Resuscitate). Although the resident had physician's orders [REDACTED]. Resident #11 arrived at the facility with [DIAGNOSES REDACTED]. Closed record review of Resident #11's medical record on 9/25/12 and 9/26/12 revealed a order dated 6/29/12 for a CBC (Complete Blood Count) and a transvaginal ultrasound; reports not present on chart. During interviews on 9/26/12, the Director of Nursing (DON) confirmed that the laboratory and radiology reports failed to be present on the closed medical record from July 2012. Closed record review on 9/26/12 revealed the facility failed to have Resident #11's last wound measurements from 7/6/12 as part of the clinical record which resulted in the measurements not being present on the weekly wound reports for the rest of her stay at this facility. During an interview with the Unit Manager on 9/26/12, she revealed that the last recorded measurements in Resident #11's record were from 6/28/12. The measuremen… | 2016-11-01 |
| 8134 | 8134 | MAGNOLIA MANOR - ROCK HILL | 425165 | 127 MURRAH DR | ROCK HILL | SC | 29732 | 2012-09-26 | 225 | D | 0 | 1 | FLD711 | On the days of the survey, based on record review, interviews and review of the facility's policy entitled What You Need To Know Abuse Prohibition, the facility failed to ensure that all alleged violations involving mistreatment, neglect, or abuse, including injuries of unknown source and misappropriation of resident property are reported immediately to the administrator of the facility and to other officials in accordance with State law through established procedures (including to the State survey and certification agency). The facility failed to Investigate and report 4 bruises located on Resident #11's thigh, 1 of 11 resident's reviewed for injuries of unknown origin. The findings included: On 9/24/12 at 1:45 PM, review of the medical record for Resident #11 revealed that on 7/4/11 at 2:00 PM a Certified Nursing Assistant (CNA) reported that the resident had 4 bruises to the right inner thigh, which was noted in the resident's Nurse's Notes. The resident's Weekly Skin Documentation forms dated 6/28/12 through 7/19/12 contained no documentation of bruises on the resident's right inner thigh. On 7/5/12 a note stated that the bruises were consistent with positioning during peri care and at times the resident does resist care. The resident's cognitive status was documented as 112 on 2/2/12 and a BIMS of 7 was documented on 7/6/12 on the resident's Minimum Data Set (MDS). Review of the resident's behavior documentation indicated that in July and August of 2012 the resident displayed no behaviors. The Care Plans for Resident #11 for significant memory loss dated 2/22/12 revealed that the resident will occasionally refuse a shower or change of clothes. The care plan was updated on 4/24/12 to state that the resident no longer refuses this. The care plan for assistance with ADLS, (Activities Of Daily Living) dated 2/22/12 and updated on 5/3/12, did not indicate resistance to care. The facility's Patient/Resident Incident/Accident Investigation Worksheet, provided by the Director of Nursing (DON) indicated that the DON … | 2016-07-01 |
| 8135 | 8135 | MAGNOLIA MANOR - ROCK HILL | 425165 | 127 MURRAH DR | ROCK HILL | SC | 29732 | 2012-09-26 | 323 | D | 0 | 1 | FLD711 | On the days of the survey, based on initial tour and interview, the facility failed to ensure the residents environment remained as free of accident hazards as possible by having elevated hot water temperatures in the resident bathrooms on Unit I. ( one of three units checked for elevated hot water temperatures.) The findings included: Initial tour on 9/24/12 at approximately 10:15 AM, revealed hot water temperature checks in all resident bathrooms located on Unit I to range from 132 degrees Farenheit to 148.8 degrees Farenheit. Each of these temps were taken by the Maintenance Director with the surveyor. He stated at this time. I usually have the temps running 108-110. I checked the temps on Friday afternoon, and they were within the normal range. Documentation was shared showing spot checks had been done and were in the correct range. The Director adjusted the mixing valve and temps came down temporarily, but went back up. Further checking found that someone had turned the hot water heater thermostat up as high as it would go. This was corrected by the Maintenance Director, who continued to do routine temperature checks during the survey. Documentation showed the temperatures continued to range in the 107-110 range daily. | 2016-07-01 |
| 8136 | 8136 | MAGNOLIA MANOR - ROCK HILL | 425165 | 127 MURRAH DR | ROCK HILL | SC | 29732 | 2012-09-26 | 371 | E | 0 | 1 | FLD711 | On the days of the survey, based on random observations and interview, the facility failed to store, prepare, distribute and serve food under sanitary conditions. The findings included: On initial tour of the kitchen area on 9/24/12 at 10 AM, ice cream in the walk-in freezer was soft. This was pointed out to the cook, who stated. We have been having some trouble with that lately and have been checking the defrost cycles. The ovens were observed with dark brown splatters inside and on the doors, the back splash of the stove also had dark brown splatters. Another tour of the kitchen area was made on 9/25/12 at approximately 11 AM. Areas noted this day included: 2 fans with dust build up on wires (one at the dish area and one by the stove.): dust was noted on the wire rack to the right of the stove, dust noted on pipes to the right of the stove; grill on stove not working, causing a delay in the supper meal on 9/24/12; peeling paint noted near electrical outlet to the left of the oven; tomatoes partially uncovered while stored in the cooler; and 10 cups of ice cream and 8 quarts of whipping cream were not frozen in the freezer. There was a heavy build-up of grease on the floors. Per their cleaning schedule the ovens and doors should have been cleaned on 9/24/12 but were still showing splatters through out the survey. All of these areas were confirmed by the Dietary Manager. | 2016-07-01 |
| 8137 | 8137 | MAGNOLIA MANOR - ROCK HILL | 425165 | 127 MURRAH DR | ROCK HILL | SC | 29732 | 2012-09-26 | 514 | D | 0 | 1 | FLD711 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on record review, interviews and review of the facility's policy entitled Physician Orders, the facility failed to document allergies [REDACTED]. The findings included: On 9/24/12 at 3:26 PM, Review of Resident #9's medical chart revealed that the resident had allergies [REDACTED]. These allergies [REDACTED]. Further review of the record revealed that the allergies [REDACTED]. On 9/25/12 at 10:30 AM, Licensed Practical Nurse #1 verified that the allergies [REDACTED]. Review of the facility's policy entitled Physician order [REDACTED].Always record a patient's allergies [REDACTED]. | 2016-07-01 |
| 8939 | 8939 | FAITH HEALTHCARE CENTER | 425009 | 617 WEST MARION STREET | FLORENCE | SC | 29501 | 2012-09-26 | 323 | D | 1 | 0 | LDN411 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the day of the complaint inspection, based on record review and interview, the facility failed to provide supervision to prevent accidents for Resident #3, 1 of 3 residents reviewed for falls and/or accidents. The findings included: The facility admitted Resident #3 with [DIAGNOSES REDACTED]. On 9/25/12 at 5:11 PM, record review of the Nurse's Notes revealed a note dated 9/22/12 at 11:15 PM that indicated the nurse was informed, that resident was found outside on ground. There was no documentation in the nurse's notes that the alarm on the resident's bed was alarming. Review of the resident's care plan revealed that potential for falls was identified as a problem and that the care plan had been updated indicating the resident had had a fall but no new interventions had been implemented. In addition, the care plan indicated the resident was to have an alarm on her bed. Review of the Fall Risk Assessment completed on 6/18/12 indicated the resident was not at risk for falls. The assessment indicated the resident was alert and oriented to person, place, and time. On 9/26/12, record review of the MDS (Minimal Data Set) dated 6/19/12 revealed the resident was coded as having a BIMS (Brief Interview for Mental Status) score of 5, indicating severe cognitive impairment. The fall risk assessment further indicated the resident had had no falls in the last month but the care plan indicated it had been updated related to resident falls on 4/24/12, 5/1/12, and 5/29/12. In addition, the fall risk assessment indicated the resident was continent, had a normal gait/balance, and was on no medications that would increase risk for falls. The MDS did not print out the resident's continent status but the ADL (Activities of Daily Living) Flow Sheet indicated the resident was incontinent of bowel and bladder, the Post-Fall Review dated 9/22/12 indicated the resident had impaired balance, and the monthly physician's orders [REDACTED]. During an interview on 9/25/1… | 2015-09-01 |
| 8940 | 8940 | FAITH HEALTHCARE CENTER | 425009 | 617 WEST MARION STREET | FLORENCE | SC | 29501 | 2012-09-26 | 498 | F | 1 | 0 | LDN411 | On the day of complaint inspection, based on record review and interview, the facility failed to implement a plan to ensure that nurse aides could demonstrate competency in skills necessary to provide care for residents. The facility had no policy in place to check the competency of Certified Nursing Assistants (CNA) to perform basic nursing skills upon hire. The findings included: On 9/25/12 at approximately 12:01 PM, record review revealed a Nurse's note dated 9/6/12 at 3:00 PM that the nurse was called to the resident's room and, upon entering, she noted a laceration above the resident's left eye. On 9/25/12 at approximately 11:32 AM, review of the Five-Day Follow-Up Report revealed a statement from CNA #1 that she had given Resident #1 a bath and was doing peri-care when Resident #1 started to fall off the opposite side of the bed. She stated she caught the resident and stopped him from going completely off the bed but that his head dropped off the bed and hit the corner of the dresser. On 9/25/12 at approximately 11:47 AM, review of CNA #1's employee file revealed no documentation of skills competencies being done during orientation. During an interview on 9/25/12 at 2:07 PM, CNA #1 stated that she had pulled the resident towards the center of the bed then turned him towards the opposite side of the bed. She stated this was the way she was taught in CNA School. On 9/26/12 at 4:38 PM, the Nursing Home Administrator confirmed there was no documentation of skills competencies in the employee file for CNA #1. He further stated that the facility did not document skills competencies during orientation but that it was something that the facility was in the process of developing for both CNAs and nurses. He also confirmed that without checking the CNA's level of competency, their facility could not ensure that the CNA could perform the skills or if their performance was in accordance with the facility's policies. | 2015-09-01 |
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CREATE TABLE [cms_SC] ( [facility_name] TEXT, [facility_id] INTEGER, [address] TEXT, [city] TEXT, [state] TEXT, [zip] INTEGER, [inspection_date] TEXT, [deficiency_tag] INTEGER, [scope_severity] TEXT, [complaint] INTEGER, [standard] INTEGER, [eventid] TEXT, [inspection_text] TEXT, [filedate] TEXT );