cms_SC: 10170

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
10170 BROAD CREEK CARE CENTER 425351 801 LEMON GRASS COURT HILTON HEAD ISLAND SC 29928 2010-12-13 490 K     GN4K11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification and Extended Surveys based on observations, interviews and full and/or limited record reviews, the facility's administrator failed to assure that the facility established and maintained services in the building that met Professional Standards of Practice. The administrator failed to develop a system to ensure that outside resources were utilized effectively and that systems were in place within the facility to ensure well being of the residents. The findings included: Cross refers to the following citations: 483.20 (k)(3) Professional Standards F281, with a scope and severity of "K" due to facility failure to clarify orders for Peripherally Inserted Central Catheter (PICC Line) Flushes, Licensed Practical Nurses (LPNs) administering Intravenous (IV) medications via PICC Line and [MEDICATION NAME] Flushes without evidence of advance practice certification. 483.30 (b) Nursing Services F354 with a scope and severity level of "F" due to failure to ensure an (RN) Registered Nurse was working 8 consecutive hours every day and the facility employs a full time Director of Nurses not to be shared with another facility. 483.60 Pharmacy Services F425 with a scope and severity level of "J" due to the facility's failure to ensure that expired medications were not stored with medications available for resident use. 483.75 (l) Clinical Records F514 with a scope and severity of "J" due to inaccurately documenting Medication Administration Records (MARs). Interview with the Nursing Home Administrator was held on 12/8/2010 and again on 12/13/2010. The Nursing Home Administrator confirmed the Director of Nursing was shared with the Senior Community Assisted Living Facility. Time sheets were provided to the surveyors and did reveal there were dates without 8 consecutive hours of RN coverage. The NHA also confirmed that there was not a security feature on the electronic records and if the nurse did not completely log off before leaving the facility, her/his name would be listed as giving medications on the MAR (Medication Administration Record) as opposed to the nurse that was on duty. In addition, the Administrator confirmed that she did not have evidence that an employed LPN did have advanced training required to access and administer medications to a resident with a Peripherally Inserted Central Catheter. Immediate Jeopardy was cited at F490 with a scope and severity of "K" related to the facility administrator's failure to assure that the facility establish and maintain services in the building that meet Professional Standards of Practice. The administrator failed to develop a system to ensure that the Pharmacy was providing the necessary contracted services, that outside resources were utilized effectively and that systems were in place within the facility to ensure well being of the residents. On 12/8/2010 at 5:25 PM the survey team met with the Administrator and Director of Nursing to inform them of the determination of Immediate Jeopardy with a start date of 11/16/2010 related to the system failure identified with using expired [MEDICATION NAME] to flush a PICC line; the failure to follow the facility policy for the care and maintenance of a central line and the failure to follow the South Carolina Board of Nursing policy related to the extended role of practice of the LPN. The Immediate Jeopardy was not removed at the time the survey team exited from the facility 12/13/2010 and is ongoing. 2014-04-01