cms_SC: 10083

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
10083 LILA DOYLE AT OCONEE MEDICAL CENTER 425075 101 LILA DOYLE DRIVE SENECA SC 29672 2010-08-18 309 D 0 1 SNPY11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on record review and interviews, the facility had no Policies/Procedures related to Caring for the [MEDICAL TREATMENT] Resident , had no education for staff on care of [MEDICAL TREATMENT] resident in 2009 nor 2010, and had no documentation of any assessment of the resident after [MEDICAL TREATMENT] visits or coordination of care with the [MEDICAL TREATMENT] clinic. Resident #15 was 1 of 1 resident reviewed receiving [MEDICAL TREATMENT]. The findings included: The facility admitted Resident # 15 on 2/04/10 with [DIAGNOSES REDACTED]. [MEDICAL CONDITION], Hypertension, End Stage [MEDICAL CONDITION], Chronic Pain, Adult Failure to Thrive, [MEDICAL CONDITIONS], [MEDICAL CONDITIONS], Debility, [MEDICAL CONDITION], and [MEDICAL CONDITION] with [MEDICAL CONDITION]. Record review on 8/17/10 revealed this resident to be receiving [MEDICAL TREATMENT] on Tuesday, Thursday, and Friday. Further review also revealed the resident to have a shunt in the right arm and a [MEDICATION NAME] site. The first nurse thought the resident was receiving [MEDICAL TREATMENT] in a shunt in the left arm. RN #2 (Registered Nurse), when asked about sites, did not know location of site but went to ask another nurse, who stated the resident had a porta cath in the left shoulder where s/he received [MEDICAL TREATMENT]. The physician's history and physical dated 02/24/10 documented " several attempts were made at an AV fistula, all failed and s/he had a left [MEDICAL TREATMENT] [MEDICATION NAME] catheter placed. RN # 2 did not know what care was to be done for the [MEDICAL TREATMENT] resident. S/.he stated the resident did his/her own bath and dressing. The nurses would just look to make sure there was no blood on the dressing on [MEDICAL TREATMENT] days. Nurses notes for April, May,and June did document dressing checks after returning from [MEDICAL TREATMENT]. However, for July and August there was no documentation in the medical record related to any dressing checks. Continued record review on 8/18/10 revealed care plan #7 for Potential for Complications related to [MEDICAL TREATMENT]. Listed under approaches was the following: 1. Monitor/report/record to MD(Medical Doctor) prn(as necessary) [MEDICAL TREATMENT] complications such as air embolism, bleeding, decreased cardiac output, local or systemic infection. 2. check [MEDICATION NAME] site for s/s (signs/symptoms) infection. (Marked D/C-discontinued). 3. Check shunt site for s/s of infection, pain, or bleeding daily and prn. Check for bruit, thrill. During an interview with RN #3, the care plan person, she stated she had updated the care plan in April when the resident had surgery to place a shunt and thought the resident was receiving [MEDICAL TREATMENT] through the shunt. LPN #1 checked documentation in the medical record and stated, "The resident did not have a shunt placed in April." RN #4 and LPN #1 confirmed the facility did not have a Policy and Procedure for Care for the [MEDICAL TREATMENT] Resident. Resident # 15 did not have physician's order in the current medical record for [MEDICAL TREATMENT] nor any orders for the care for the site. This was confirmed by both nurses. Later, an order was found in a closed chart. An interview with the Education Director revealed no inservices had been done in 2009 nor thus far in 2010 related to care for the [MEDICAL TREATMENT] Resident. She stated the staff would know what to do for the resident by the physician's orders and the resident's care plan. There were no physician's orders related to care of the [MEDICAL TREATMENT] site. Nor was the care plan correct as to the site or care of. 2014-06-01