cms_SC: 10237

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
10237 LAKE EMORY POST ACUTE CARE 425303 59 BLACKSTOCK ROAD INMAN SC 29349 2010-11-16 280 D     SPEH11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey based on record review and interview the facility failed to assure that 1 of 11 residents reviewed had their care plans reviewed and revised to reflect the care needs of each resident. Resident #11's care plan did not reflect the specific transfer devices needed. Resident #11 was recommended to use a sliding board, rolling walker and gait belt for safe transfers. The care plan did not reflect the recommendations. The findings include: Review of the medical record revealed Resident #11's was admitted to the facility on [DATE] and a re-admission on 8/30/2010. [DIAGNOSES REDACTED]. Review of the Nurses' Progress Notes dated 10/1/2010 indicated that the Nurse Practitioner and the Physical Therapist assessed Resident #11's decreased Range of Motion and functional ability of the left ankle and recommended it was "safest for res. to use slide board to transfer and use BSC (bedside commode) after standing from w/c." Review of the Physical Therapy notes revealed on 10/1/2010 "...sliding board transfer to w/c and standing pivot transfer with walker for w/c recliner transfer. No more toilet transfer and used bedside commode..." A Physical Therapy inservice was conducted with 4 CNA's related to safe transfers for Resident #11. The inservice indicated the staff was to use a gait belt and rolling walker for transfers. Another Physical Therapy inservice was conducted with the Ambustar staff related to safe transfers for Resident #11. The education provided indicated the resident was to be transferred using a gait belt and rolling walker with "no ankle lock on floor." Review of the care plan revealed assistance with ADL's was identified as a problem area. Interventions and approaches to this problem area were documented on the care plan and included "bed mobility: assist of 1, extensive, eating: assist of 1, for set up at times, toileting: assist of 1, extensive, Transfer: assist of 1, extensive, Dressing, assist of 1, extensive." There were no approaches related to the type of transfer devices needed or what was the safest way to transfer the resident. The CNAs used the same care plan as the nurses. The care plan was located in the resident's chart at the nurse ' s station. There was no documentation on the resident's care plan that indicated what the specific care needs of Resident #11 were (i.e. slide boards, rolling walker, gait belt ect.) During an interview on 11/16/2010 the DON confirmed the care plan did not reflect the transfer needs of Resident #11. The DON stated that the care plan should reflect what the resident needed (i.e. sliding boards, lifts, gait belt, walkers etc). 2014-03-01