cms_SC: 10109

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
10109	STILL HOPES EPISCOPAL RETIREMENT COMMUNITY	425401	1 STILL HOPES DRIVE	WEST COLUMBIA	SC	29169	2011-11-10	156	E	0	1	HXLZ11	On the days of the survey, based on review of Medicare Notices and interview, the facility failed to ensure that one of three residents reviewed for Notices had been provided with the mandated Notice of Medicare Provider Non-Coverage (CMS Form ). There was no documentation that Resident A or her Responsible Party had received the Notice of Medicare Provider Non-Coverage. The facility also failed to provide a Skilled Nursing Facility Advance Beneficiary Notices (SNFABN) or one 5 Denial Letters to the resident or responsible party for Residents A, B, and C, three of three residents reviewed for Liability Notices. Based on observations and interviews, there was no information prominently displayed on the unit on how to receive refunds for previous payments covered by Medicare or how to contact the Adult Protection and Advocacy Network. The findings included: Review of 1 of 3 Notices of Medicare Provider Non-Coverage on 11/9/11 at approximately 4:00 PM revealed the notice for Resident A had not been signed or dated by the resident or responsible party. According to the Notice of Medicare Provider Non-Coverage, the resident's covered services would end on 9/5/11. Attached to the notice was an e-mail from the facility to the resident's son which stated "Please sign and return the attached documents regarding your mother's transition. Please call ... if you have any questions". The e-mail and the Notice of Medicare Provider Non-Coverage had been sent on 9/2/11. During an interview on 11/9/11 at approximately 4:00 PM, the Accounting Director stated she had not received an answer back from the e-mail and had no way of knowing if the son had received and/or understood the information. When asked, she stated that the facility had not mailed the Notice of Medicare Provider Non-Coverage or tried to call the resident's son. Review on 11/9/11 of the "30-Day List" provided by the facility revealed Residents A, B, and C had been listed as having been covered for Medicare, dropped below Medicare coverage criteria with days remaining on the benefit period and remained in the facility. According to the list, Resident A's first non-covered day was 9/6/11. She had 71 days remaining in the benefit period and had moved to Assisted Living. Resident B's first non-covered day was 9/22/11. She had 76 days remaining in the benefit period and had moved to a Skilled Nursing Facility (SNF) non-certified bed. Resident C's first non-covered day was 10/5/11. She had 49 days remaining in the benefit period and had moved to a SNF non-certified bed. During an interview on 11/9/11 at approximately 4:00 PM, the Accounting Director verified Residents A, B, and C had stayed in the same facility community. When asked if a SNFABN or 1 of 5 Denial Letters had been completed for these residents, the Accounting Director stated she thought that the Notice was not required since the residents were no longer in a certified bed. During an interview on 11/9/11 at 4:15 PM the Accounting Director was asked if there was a posting on the unit on how to receive refunds. She stated that she didn't know, but that she had not created one. After checking for the posting on the unit bulletin board with the surveyor on 11/9/11 at 5:05 PM, the Accounting Director verified there was no posting related to how to receive refunds for previous payments covered by Medicare. Observations on 11/8/11 at approximately 10:30AM, during the initial tour of the facility, no posting of contact information for the South Carolina Protection and Advocacy Agency was noted. Interview on 11/9/11 at approximately 9:15AM with the Administrator confirmed that there was no posting of the contact information for the South Carolina Protection and Advocacy Agency.	2014-06-01