cms_SC: 1859
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
|
| 1859 |
PRUITTHEALTH-AIKEN |
425145 |
830 LAURENS STREET NORTH |
AIKEN |
SC |
29801 |
2018-08-30 |
758 |
E |
0 |
1 |
H9EX11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to ensure residents had [DIAGNOSES REDACTED]. Residents #71 and #102 received antipsychotics without an appropriate diagnosis (2 of 5 reviewed for unnecessary medication). The findings included: Resident #71 had [DIAGNOSES REDACTED]. Record review of the (MONTH) (YEAR) Medication Administration Record [REDACTED]. Record review of a 4/12/18 Consultant Pharmacist Communication to Physician regarding a gradual dose reduction review for [MEDICATION NAME] for aggression revealed the following: It appears from nursing notes that (Resident #71) is having significant behaviors despite being on an antipsychotic for aggression. [MEDICATION NAME] may not be helping with (Resident #71's) behaviors. Consider discontinuing [MEDICATION NAME] and starting (Resident #71) on [MEDICATION NAME] 250 mg QAM (every morning). The physician indicated: No change. An attempted GDR (gradual dose reduction) is likely to result in impairment of function or increased distressed behavior. Interview with Licensed Practical Nurse (LPN) #2 on 08/29/18 at 03:56 PM confirmed the medication was ordered for aggression. S/he provided the original physician's orders [REDACTED]. Resident #102 had [DIAGNOSES REDACTED]. Record review of the (MONTH) (YEAR) Physician order [REDACTED]. Record review of the (MONTH) (YEAR) MAR indicated [REDACTED]. Record review of a 6/28/18 pharmacy note revealed [MEDICATION NAME] .25 mg BID (twice daily) was added for aggression. Record review of a 7/17/18 Consultant Pharmacist Communication to Physician revealed a recommendation to reduce [MEDICATION NAME] to 0.25 mg qd (every day) was denied by the physician due to behaviors. Interview with LPN #3 on 08/30/18 at 10:38 AM revealed aggression was on the original 6/26/18 Physician's Interim Orders and Behavioral Disorders associated with Dementia was on the current (MONTH) (YEAR) physician's orders [REDACTED]. |
2020-09-01 |