cms_SC: 1027

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
1027 MILLENNIUM POST ACUTE REHABILITATION 425105 2416 SUNSET BOULEVARD WEST COLUMBIA SC 29169 2019-11-07 656 D 1 0 QOW511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on clinical record review, resident interview, staff interview, and policy review, the facility failed to develop a comprehensive person-centered care plan for 1 of 1 sampled resident reviewed for a toileting program (Resident #8). The resident was assessed as incontinent for bowel and bladder but did not have an assessment completed to determine candidacy for bowel and bladder retraining. There was no care plan developed to address this need. The findings included: Review of the facility's Bowel and Bladder Assessment Policy, revised 5/2007 documented the following: Procedures: 1. Resident's care plan will be updated accordingly 2. Residents will be re-evaluated by the Interdisciplinary Team (IDT) quarterly and when a significant change occurs. Review of Resident #8's record revealed that the resident was readmitted on [DATE] with [DIAGNOSES REDACTED]. Review of the resident's most recent Admission Minimum Data Set ((MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) assessment for determining the resident's attention, orientation and ability to register and recall new information was conducted. The resident scored 15/15, indicating that the resident was cognitively intact. The resident was assessed as requiring extensive assist with bed mobility, transfers, dressing, toileting and personal hygiene with 1-person physical assist. The resident was also assessed as having occasional urinary incontinence and frequent bowel incontinence. Review of the resident's care plan dated, 10/14/19, revealed the resident was care planned for the following: ADL Self Care Performance Deficit related to Limited Mobility; Hypertension; Anticoagulant use related to history of [MEDICAL CONDITION] Embolism; Potential for Constipation and [DIAGNOSES REDACTED]. Further review revealed that there was no care plan for incontinence. Record review revealed that no bowl and bladder assessment was conducted from admission on 10/11/19 to current date. An interview with the resident was conducted on 11/7/19 at approximately 10:45 AM. The resident was pleasant upon approach and greeted this surveyor. The resident stated that she was doing fine and didn't have any concerns or issues. An interview was conducted with the Assistant Director of Nursing (ADON) on 11/7/19 at approximately 11:28 AM, who confirmed that a bowel and bladder assessment should have been completed based on the facility policy. An inquiry was made regarding a care plan for incontinence. The ADON went to get the MDS coordinator. An interview was conducted with the MDS Coordinator on 11/7/2019 at approximately 11:45 AM. The MDS Coordinator presented a care plan addressing a skin condition that included checking for incontinence; however, it did not address Resident #8's bowel or bladder incontinence. The MDS Coordinator explained that the care plan she provided had been deleted by another staff member when a skin issue for the resident had been resolved. 2020-09-01