cms_SC: 10160

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
10160 HEARTLAND HEALTH CARE CENTER - GREENVILLE WEST 425294 600 SULPHER SPRINGS ROAD GREENVILLE SC 29611 2011-01-13 281 E     EE4V11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the day of the complaint inspection based on record review, interviews and review of the facility's policy on "Venous Access Devices," the facility failed to assure the nursing staff provided the appropriate interventions for Resident #1's peripherally inserted central catheter (PICC) line (one of two residents sampled with a PICC line.) The facility also failed to assure a newly admitted resident had a written plan of care to meet the needs of that resident. Resident #1's interim care plan did not include his PICC line, his leg wounds or his extensive activities of daily living (ADL) requirements. The findings included: The facility admitted Resident #1 on 2/28/2010 and discharged on [DATE] with [DIAGNOSES REDACTED]. Review of the Medicare 5 Day Minimum Data Set (MDS) with an Assessment Reference Date of 3/7/2010 revealed the resident had no short term or long-term memory problems and was independent in decision-making. The MDS documented the resident as having repetitive verbal complaints and was verbally abusive 1-3 days within the assessment period. The MDS also coded the resident as needing extensive assistance with transfers, toileting and bathing. The resident was coded as totally dependent for ambulation on and off the units and was totally dependent for toileting. The resident was coded as frequently incontinent of bowel and bladder. The resident was also coded as have a Stage III ulcer. Review of the Interim Care Plan revealed no problem areas related to his PICC his wound or his need for extensive assistance related to his activities of daily living. Review of the Medication Administration Record [MEDICATION ADMINISTRATION RECORD DETAILS REDACTED]. There was no documentation that the PICC line was flushed every 12 hours. However the resident was receiving antibiotics once daily through the PICC line. Review of the facility's policy on "Venous Access Devices" revealed PICC lines should be flushed a minimum of every 12 hours. The dressing should be changed every 7 days if an occlusive dressing was used, the dressing should be changed every 48 hours if gauze was used. During an interview on 11/9/2010, Resident #1's spouse stated that she saw the dressing change to the PICC line once. She stated that she observed blood under the dressing but was unsure how long the blood had been there. Two staff Registered Nurses were interviewed, both stated that PICC lines were to be flushed with normal saline twice a day and the dressings were to be changed once a week. During an interview on 1/13/2011, the Administrator confirmed the interim care plan did not include the resident's PICC line, the lower extremity ulcer or the need for extensive assistance with ADL's. The Administrator stated that the interim care plan should have included the above. The Administrator also confirmed that there was no documentation related to the PICC line flushes. The Administrator stated that the PICC line dressing should be changed every 7 days. He confirmed that the resident's PICC line dressing was not changed timely. The Administrator confirmed the policy was not followed related to the resident's PICC line. 2014-04-01