cms_SC: 10218

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.

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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
10218 MAGNOLIA MANOR - INMAN 425032 63 BLACKSTOCK ROAD INMAN SC 29349 2010-11-17 159 D     JNTL11 On the days of the survey, based on record review and interview, the facility co-mingled personal funds with facility funds for 2 of 5 residents reviewed with Resident Trust Fund Accounts. Resident D had personal funds withdrawn from her Trust Fund Account and deposited into the facility account. Resident E had retirement checks deposited into the facility account instead of being deposited into her Trust Fund Account first. In addition, there was no evidence of notification of balances that would jeopardize Medicaid eligibility for Resident D. The findings included: Review of Resident D's Trust Fund Account record on 11/17/10 at 1:42 PM revealed a Care Cost Payment dated 9/17/10 of $3.04, a second Care Cost Payment dated 10/7/10 for $11.28, and a third Care Cost Payment dated 11/5/10 for $30.06. When asked about what these payments were for, the Business Office Manager stated that she withdrew these amounts from the resident's Trust Fund Account and deposited the monies into the facility account since the resident had reached her $1800.00 limit in which she would need to start spending down her account since she was a Medicaid recipient. According to the Business Office Manager, the monies deposited into the facility account would go towards payment of any remaining balances the resident might have. When asked if the resident owed a balance, she stated "no". She stated the facility account was not interest bearing. When asked if she had contacted the family of the resident to try to see if they could spend down her account she stated she had never seen the family and hadn't recently tried to get ahold of them, but she would try now. Review of the Resident Fund Management Service reports revealed that these funds had been withdrawn from the resident's Trust Fund Account and had been deposited into the facility account. During the funds interview on 11/17/10 at approximately 9:30 AM, the Business Office Manager stated that when a Medicaid resident's account reached #1800.00, she told the resident or responsible party that they needed to spend down the account. She stated she did not document this notification any where. According to the Administrator, the facility used letters to notify residents that their Trust Fund Account balances were within $200.00 of exceeding what is allowable under Medicaid. However, he was unable to provide a copy of any letters notifying Resident D or her responsible party with this information. Review of Resident E's Trust Fund Account Record on 11/17/10 at 12:25 PM revealed a Care Cost Payment of $31.00 on 6/8/10 and another Care Cost Payment of $1077.33 dated 11/5/10. When asked what these payments were for, the Business Office Manager stated they were payments for balances owed since the resident's room and board were more than her Social Security check. She provided documentation of these balances owed and revealed a Resident Statement dated 5/21/10 which listed a balance of $31.00 on 6/8/10. It also had a "receipt copy" included on the statement dated 5/26/10 for a check from the "State Budget" for $461.85. The amount of the check received from the State Budget had been handwritten onto the statement and deducted from the resident's balance on 5/26/10. According to the Business Office Manager, the "State Budget" check had been deposited into the facility account, and had not been deposited into the Resident's Trust Fund. When asked if the "State Budget" checks were made out to the resident, she said that they were. When asked why it had not been deposited into the resident's Trust Fund Account, she did not answer. Review of a letter dated October 23, 2007 from the resident to the Insurance Operations Department revealed the resident had requested her "WestPoint Stevens" retirement check to go to the nursing home, and that she only wished to change her check mailing address. Review of the Resident statement dated 5/21/10 revealed an entry for a check from "West Point Stevens" for $63.11 that had been deducted from the resident's balance on 6/1/10. According to the Resident Trust Fund Account Statement dated 6/1/10 through 11/16/10, there had not been a deduction of $63.11 from that account on 6/1/10. The Business Office Manager also provided a Resident Statement dated 10/21/10 that listed a balance of $1077.33 on 11/5/10. On the statement were 2 payments that were both dated 10/8/10, one for $461.85 and one for $63.11, both of which had been deducted from the resident's balance and were not included in the Resident Trust Account statement dated 6/1/10 through 11/16/10. This indicated these funds had not been first deposited into the Trust Fund Account for the resident before being used to pay balances owed. Further review of the Trust Fund Account record dated 6/1/10 through 11/16/10 revealed the resident had been receiving "miscellaneous income" of $63.11 on 8/4/10, 9/1/10, and 11/8/10. According to the statement, she also had a "State/Cnty/City CK" for $461.85 that had been deposited into her Trust Fund Account on 11/8/10. There was no indication of any deposits matching these amounts in October. 2014-03-01