cms_SC: 10292

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
10292	L.M.C.- EXTENDED CARE	425321	815 OLD CHEROKEE ROAD	LEXINGTON	SC	29072	2010-09-30	441	F			IK8X11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On the days of the survey, based on observation, record reviews and interviews, the facility failed to provide Tracheostomy care for one of one resident reviewed for tracheostomy care in a manner that would prevent possible infection on Resident #11. In addition the facility failed to track/trend infectious organisms and failed to adequately notify visitors of contact precautions. The findings included: The facility admitted Resident #11 on 5/12/10 with [DIAGNOSES REDACTED]. Review of the September 2010 cumulative physician's orders [REDACTED]. Observation on 9/28/10 at approximately 4:50 PM revealed Licensed Practical Nurse (LPN) #5 entered the resident's room. After assessing the resident, he put on a pair of clean gloves and suctioned inside and around the tip of the tracheostomy opening with a [MEDICATION NAME] suction catheter. He did not wash his hands prior to putting on the gloves. With the same gloved hands that he had used to suction with the [MEDICATION NAME] catheter, he opened a new inner cannula from a box container, removed the inner cannula from the resident's tracheostomy, and inserted the new inner cannula into the tracheostomy. With the same gloved hands, he then opened the drawer to the bedside table and removed a sterile suction kit. He put one sterile glove on his left hand without removing the other gloves and proceeded to perform endotracheal suctioning to the resident. During an interview on 9/29/10 at 5:13 PM, LPN #5 verified he put on gloves without washing his hands first, put on a sterile glove over a dirty one, and touched the drawer handle and supplies with the same gloved hands used for suctioning. He stated that the reason he put the sterile glove over the dirty one was that the sterile gloves were too small and ripped causing mucus to get on his hands. Review of the policy provided by the facility entitled "Suctioning of Tracheostomy" (dated 11/25/97) on 9/29/10 at 12:58 revealed under Procedure..."3. Assemble equipment at bedside...4. Wash hands...7. Don sterile gloves 8. Open catheter package". Resident #7, admitted [DATE], with [DIAGNOSES REDACTED]. Diff), Stage III Decubitus, Diabetes Mellitus. Record review on 9/28/10 at approximately 10:45am revealed a physician's orders [REDACTED]. Diff. Result of the culture on 9/16/10 reported positive for [DIAGNOSES REDACTED]. A physician's orders [REDACTED]. Interview with Certified Nursing Assistant #2 on 9/28/10 at approximately 1:35pm indicated that nursing notifies staff of when a resident has an infectious disease and when there was a need to glove and/or gown before entering room. Interview with Registered Nurse #5 on 9/29/10 at approximately 9:55am indicated that when determined resident had [DIAGNOSES REDACTED] the facility notified physician, informed Responsible Party, put resident on contact isolation, placed a yellow cart outside door of resident's room, and informed staff. Asked if the facility posted signage asking visitors to see nursing before entering room. She stated that the facility does not post signage. Asked how visitors would know about need for contact precautions. Stated when visitors saw cart they were to come and speak with nursing. On 9/28/10 at approximately 1:30 PM, interview with the infection control nurse and review of the monthly infection control logs revealed that the facility failed to track/trend organisms. Further review of the infection control logs revealed that the facility tracked the number of infections and type of infection by each unit, however did not track/trend infections by room location on the units. When questioned if she had made formal infection control rounds to observe treatments and insure that staff were following infection control practices, she stated no.	2014-01-01