cms_SC: 10236

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
10236 LAKE EMORY POST ACUTE CARE 425303 59 BLACKSTOCK ROAD INMAN SC 29349 2010-11-16 225 D     SPEH11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey based on record review, interviews and review of the facility's Abuse policy, the facility staff failed to immediately report an allegation of abuse to the administrator of the facility. Resident #11 reported an injury to her ankle on 9/23/2010 to her Certified Nursing Assistant (CNA). The CNA failed to report the injury to the nurse. An allegation of abuse was made to the Licensed Practical Nurse (LPN) the next morning. The LPN waited 6 hours before contacting the administration of the allegation. The findings include: Review of the medical record revealed Resident #11 was admitted to the facility on [DATE] and a re-admission on 8/30/2010. [DIAGNOSES REDACTED]. Review of the Nurses' Progress Notes dated 9/24/2010 at 9:15 AM documented: "This nurse (LPN (Licensed Practical Nurse #1) brought to the DON (Director of Nurses) office by res(ident) and granddaughter and also an employee @ facility. Res in DON office in w/c (wheelchair) accompanied by res nurse. This nurse approached res and res stated, "the CNA was rough with me last night." Then res stated the CNA offered to use lift to stand resident. Res states, "I said hell no." Res c/o (complains of) L(eft) ankle pain. Res nurse reported pain pill just given to Res @ 9 AM r/t (related to) same. No further complaints noted. This nurse told res that a different CNA would take care of her from now on. Resident stated "ok" and seemed pleased." A Nurses' Note dated 9/24/2010 at 3:30 PM, indicated "Res. daughter noted standing at desk talking with nursing staff. This nurse approached res. daughter and daughter states res ankle is hurting her and may need an x-ray." At 5:00 PM a nurses note documented "Reported res complaints of L ankle pain to Dr. Patterson. New orders to get x-ray of L ankle." Review of the Incident Report dated 9/24/2010 at 9:15 AM revealed "res stated to this nurse "the CNA was rough with me last night." Then resident stated the CNA offered to use lift to stand res. Res states "I said hell no." Res c/o left ankle pain." The physician was not notified until 3:30 PM and the responsible party was not notified until 3:00 PM. The facility failed to report the allegation of abuse within the regulatory 24 hours. The initial report was sent to Certification on 9/25/2010, 2 days after the incident. During an interview on 10:50 AM and 1:15 PM, LPN #1 stated that Resident #11 reported an allegation of abuse to her on 9/24/2010 at approximately 9:15 AM. LPN #1 stated that Resident #11 reported that CNA #1 was rough with her last night and reported left ankle pain. LPN #1 stated that she assessed the resident's ankle and did not notice anything abnormal. LPN #1 stated that the Administrator and DON were not in the building. She stated that she did not contact either one until after 3:00 PM. LPN #1 confirmed that she was aware of the allegation of abuse at 9:15 AM and waited 6 hours before contacting anyone regarding the allegation. She stated that she "did not think (the doctor) needed to know about the allegation." During an interview on 11/16/2010 at 11:15 AM, CNA #1 that Resident #11 complained of pain in her ankle during the transfer. CNA #1 stated that she did not report the pain to the nurse. During an interview on 11/16/2010 the Administrator and Director of Nursing confirmed that CNA #1 did not report the ankle pain to the nurse. Both stated that she/he should have reported the incident immediately to the nurse or the charge nurse. Both the Administrator and the DON confirmed that LPN #1 did not report the allegation of abuse timely to administration. The Administrator stated she expected allegations of abuse to be reported immediately. The Administrator stated that LPN #1 should not have waited 6 hours to notify the physician of the allegation of abuse or the pain. The Administrator confirmed that she did not send in the initial 24 hour report until 9/25/2010, 2 days after the alleged incident. 2014-03-01