cms_SC: 10178

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
10178	BROAD CREEK CARE CENTER	425351	801 LEMON GRASS COURT	HILTON HEAD ISLAND	SC	29928	2010-12-13	315	E			GN4K11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On the days of the Recertification and Extended Survey, based on record reviews, observation and review of the facility procedure for suprapubic catheter care, the facility failed to provide appropriate catheter care for two of two residents reviewed for catheter care. During Residents' # 2 and # 4 suprapubic catheter care, the facility staff failed to provide treatment in a manner that would prevent possible infection and failed to follow Physician orders [REDACTED]. The findings included: The facility readmitted Resident # 2 on 2/8/2008 with diagnoses, which included Urinary Tract Infection, [MEDICAL CONDITION] and [MEDICAL CONDITION]. On 12/8/2010 at approximately 3:00 PM, LPN (Licensed Practical Nurse) # 2 was observed to perform suprapubic catheter care on resident # 2. The nurse failed to wash her hands prior to donning gloves and was observed to use her gloved hand to turn on the faucet and run water into a basin. She placed the basin on the resident's overbed table, returned to the bathroom and using her right gloved hand dispensed soap onto a hand towel touching the trigger of the wall soap dispenser. LPN # 2 draped the resident with a towel. There was no dressing around the insertion site and the left side of the insertion site was observed to have a small amount of red tinged drainage. Using the hand towel, LPN # 2 cleaned around the catheter insertion site with a back and forth motion without changing position of the hand towel. Next LPN # 2 cleansed down the catheter tubing. LPN # 2 placed the hand towel back into the hand basin filled with water and was observed to use the same towel and again used a back and forth motion around the insertion site without changing position of the hand towel and then wiped down the catheter tubing. Bright red tinged drainage was observed on the right side of the catheter site. LPN # 2 returned the hand towel to the basin and picked up the towel she had used to drape the resident and using the side that had been touching the resident's body dried around the insertion site and down the tubing. Review of the resident # 2's medical record revealed a Physician order [REDACTED]." During an interview with LPN # 2 after the treatment on 12/8/2010, the LPN confirmed that she had not followed appropriate infection control practices. When questioned if she had read the physician orders [REDACTED]. She confirmed that she had cleansed the catheter with soap and not normal saline. When questioned why she had not placed a dressing on the site related to the drainage, she initially stated that she had not seen any, however did state that she was aware of the drainage at the end of the treatment but she contributed this to the site having just been cleansed. The facility admitted Resident # 4 on 12/29/2004 with diagnoses, which included [MEDICAL CONDITION], Hypertension and Convulsions. On 12/8/2010, at approximately 4:00 PM, CNA (Certified Nursing Assistant) # 1 was observed performing suprapubic catheter care on Resident # 4. CNA # 1 was observed to use [MEDICATION NAME] Foaming Cleanser to cleanse during the treatment. There was no dressing around the insertion site. No dressing was applied after the treatment. After completion of the cleansing, CNA # 1 was observed to disconnect the catheter collection bag. Next CNA # 1 emptied the collected urine into the toilet and then placed the collection bag into the sink to "wash it off." CNA # 1 then dried the collection bag and reconnected it to the catheter tubing. Review of Resident # 4's clinical record revealed a physician's orders [REDACTED]. Review of the facility procedure for providing suprapubic catheter care revealed under the section titled Preparation : "1. Check physician's orders [REDACTED]. ...4. Perform hand hygiene. " Interview with the DON (Director of Nurses) on 12/8/2010 confirmed that the LPN # 2 and CNA# 1 had not followed appropriate infection control practices and had not followed the MD orders related to the cleansing of the suprapubic catheter.	2014-04-01