cms_SC: 1841

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
1841 PRUITTHEALTH-AIKEN 425145 830 LAURENS STREET NORTH AIKEN SC 29801 2017-05-25 157 D 0 1 K3UF11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to notify the physician of multiple incidents of pulling on a Permacath used for [MEDICAL TREATMENT] and a Percutaneous Endoscopic Gastrostomy feeding tube in order to timely initiate treatment for [REDACTED].#193, 1 of 1 resident reviewed with a Permacath. The findings included: The facility admitted Resident #193 with [DIAGNOSES REDACTED]. On 04/19/2017, review of the nurses notes revealed the following entries: 3/26/17 Resident observed digging in wound, removing dressing and putting BM in the wound. 3/25/17 Removed dressing from [MEDICAL TREATMENT] port, pulling at GT (Gastrostomy Tube). 3/20/17 Unhooked GT, feeding on floor. 3/15/17 Removed dressing from [MEDICAL TREATMENT] port, stitches observed to be dislocated. GT disconnected, feeding on floor. 3/12/17 Cont(inues)) to pull at [MEDICAL TREATMENT] port, removed dressings, pulling on GT 3/11/17 Pulling at [MEDICAL TREATMENT] port, removing dressing, pulling at GT, feeding observed on floor, resident removed GT from port 2/18/17 observed pulling on portcath (sic) to upper chest wall times two. Informed resident not to pull on it. Observed dressing to portacath half way off and bright red drainage noted from the insertion site. Nurse cleaned area and put new and bigger dressing to site to prevent resident from pulling on portacath. Record review revealed no documentation the physician was notified of any of the above incidents At 4:51 PM, review of the Physicians Orders revealed orders dated 4/6/17 for mitts to bilateral hands daily for safety and 4/11/17 for chest xrays AP (anterior/posterior), lateral and left oblique to check port (permacath) placement. During an interview at 4:24 PM on 04/20/2017, the Director of Nursing (DON) confirmed the documentation of the resident pulling at the [MEDICAL TREATMENT] access line and the PEG tube on 2/18/17, 3/11, 3/12, 3/15 and 3/20/17. The DON also confirmed the resident had a Permacath, not a portacath and that the staff were using the incorrect terminology. When asked if s/he would have expected the nurse to notify the physician of the incidents, especially when Stitches to [MEDICAL TREATMENT] port observed to be dislocated on 3/15/17 and bright red drainage noted from the insertion site o 2/18/17, the DON stated that would have been the appropriate thing to do. 2020-09-01