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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.

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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
1866 PRUITTHEALTH-AIKEN 425145 830 LAURENS STREET NORTH AIKEN SC 29801 2019-12-19 584 E 0 1 HRL411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews and review of the facility's cleaning schedule it was determined the facility failed to maintain a clean and sanitary environment on three (3) of four (4) units. The findings include: On [DATE] at 8:40 AM upon entrance to facility the odor of urine was detected around the area of the front desk. During initial tour on [DATE] at 9:30 AM a strong urine odor was detected in rooms [ROOM NUMBERS]. On [DATE] at 1:30 PM a strong odor of urine was detected around the nurses' station on the 200 Unit. On 1[DATE] at 11:21 AM a strong odor of urine was detected in room [ROOM NUMBER] Bed A, there were several missing tiles under the bed, black residue around the base of the commode and even stronger odor of urine and feces in the resident's bathroom room. Observation of the resident's bedroom detected even stronger odor and feces. On 1[DATE] at 12:10 PM a strong odor of urine was detected in the hallway leading to the Ritz dining room. There were several residents in wheelchairs lined up against the wall waiting for the dining room to open Interview with Family member of Resident #19 on 1[DATE] at 12:05 PM revealed she had identified problems with the cleanliness in the assisted dining room. The chairs in the dining room needed upholstering and requested the dining room to be repainted. On [DATE] 8:42 AM a strong odor of urine and feces was noted in the hallway from Rooms 212 to 223. Interview with R#45's daughter on [DATE] at 8:45 AM revealed the facility has an odor. I believe the facility has a ventilation problem. On [DATE] at 9:05 AM an environmental tour conducted on the 200 Unit with the Maintenance Director and the Interim Housekeeping Supervisor revealed the following: - room [ROOM NUMBER] entrance door with splintered wood edges - room [ROOM NUMBER] resident's bathroom door with splintered edges - room [ROOM NUMBER] resident's closet door has small holes, splintered wood edges on the door and a gauged hole at the bottom. - room [ROOM NUMBER] entrance door with splintered wood edges. Commode missing a toilet seat and the bathroom door with jagged wood edges. - room [ROOM NUMBER] Bed A top drawer in night stand missing edge covering exposing sharp wood edges; entrance door with splintered edges. Dried tube feeding formula on base of the pole and on the floor. Black scuff marks around the head of Bed A. Bed B had the missing protective edging at the foot of the bed. The first (1st) and second (2nd) drawers of the night stand at Bed B missing the edging covering. There was dried tube feeing formula on the floor and the base of the pole. In the bathroom the grout around the commode with dark residue; strong urine odor present. The ceiling ventilation was tested by holding a toilet paper to vent by the surveyor and Maintenance Director to see if the air vent sucked the toilet paper towards it. The toilet paper did not move. - room [ROOM NUMBER] entrance door with splintered edges. Wall paint peeling around Bed A. Closet door with missing wood at the bottom of the door. The night stand by Bed B has the bottom drawer missing the edge covering and does not close completely. Also, there was dried beige color stain at the head of Bed B. - room [ROOM NUMBER] entrance and bathroom doors with splintered gouged areas. Closet doors not on track causing the doors to swing with the slightest pressure. The night stands at both beds missing edge covering. - room [ROOM NUMBER] urine odor still present in the room. Tile under bed has now been replaced. Night stand at Bed A has top drawer missing edge covering. Hole in the wall at the foot of Bed A. Dirt buildup at entrance to bathroom and discolored grout around the commode. Strong urine odor present in bathroom. Ceiling vent sounding but failed toilet paper test. Peeling paint on the wall under the sink. Bed B night stand first (1st) and third (3rd) drawers missing edge covering. - Rooms 212 - 223 - all rooms had chipped and scrapped paint on the walls. Both rooms have patchwork in need of painting. - Chipped paint on door jam in rooms [ROOM NUMBER] - room [ROOM NUMBER]-bathroom ventilation system not working and a heavy buildup dirt and grime residue on the floor and damaged sheetrock on wall behind 216 Bed B - 217 - loose baseboard near bathroom door - Broken drawer and missing drawer on nightstand in closet of room [ROOM NUMBER] - Community Shower (Spa) stall walls with black substance buildup. Dim lighting in the shower room and dead roaches in ceiling lighting. Interviews with the Maintenance Director and the Interim Housekeeping Supervisor (IHS) during the environmental tour on [DATE] at 9:05 AM revealed as the staff identify areas that need repair, they should report it through facility's maintenance computerize system. The Maintenance Director stated that he had not received any notifications from the staff on the areas identified during the tour. The Maintenance Director was not sure how to test to see if the system was working properly. After showing the Maintenance Director how to test the ventilation in the bathroom he agreed that it appeared there was a problem with the ventilation system in the identified bathrooms. The IHS stated the housekeeping staff have assigned rooms daily that are to be deep cleaned. The deep cleaning included cleaning the room from top to bottom. The IHS also stated there were housekeeping staff assigned to mopping the bathroom floors and shower room floor but after this environmental tour it was evident the staff were not performing their assigned duties. The Maintenance Director and the Interim Housekeeping Supervisor stated the facility does not conduct any type of environmental rounds. Both agreed the continual problem with odors and the inadequate cleaning could be contributing factors to the continuing roach infestation. Environmental tour of the 300 unit on [DATE] at 10:00 AM revealed the following: - rooms [ROOM NUMBERS]- Paint chipped on the bathroom door frames - room [ROOM NUMBER]- corners of the wall on the entrance marked with scraping from the floor to ceiling, baseboard along the floor on left wall pulled loose from the wall - room [ROOM NUMBER] - on the left side and back wall torn wallpaper from the wall - rooms [ROOM NUMBERS]- paint scraped along length of wall the side where bed's A and B reside - room [ROOM NUMBER]- paint scraped along the bottom of the left wall - room [ROOM NUMBER]- Linoleum chipped away of eight (8) inches long by three (3) inches on the floor in the back of the room in front of the resident's bed - room [ROOM NUMBER]- paint chipped and scraped on both sides of the walls - rooms [ROOM NUMBERS]- closest doors are off the track - room [ROOM NUMBER] - peeling wallpaper on the top at the ceiling of the right wall - room [ROOM NUMBER] - scraping of paint on right side of the wall - Shower room on the 300 Hall, the interior of the wood door entering the shower room had scrapings across one side to the next from the bottom of the door to the door handle An environmental tour of the 100-Unit on [DATE] 10:29 AM revealed the following: - room [ROOM NUMBER] closet door scratched up - room [ROOM NUMBER] hole and scratches in closet door - Nurses station unit one the bottom of door into the nurses station is marred and at the bottom of the door frame along the floor there is dirt and old wax build up - room [ROOM NUMBER] corridor door chipped on edges. - room [ROOM NUMBER] bathroom door frame rust at the bottom of the frame, - room [ROOM NUMBER] mold around toilet, - room [ROOM NUMBER]-bathroom door frame rust and dirt at the bottom of the frame, - room [ROOM NUMBER]-bathroom door frame has rust at bottom, - room [ROOM NUMBER] corridor door chipped, - room [ROOM NUMBER] dirt and mold around base of toilet, - room [ROOM NUMBER]-bathroom door frame scratched, dirt and mold build up on base of toilet. A walk-through Environmental tour on [DATE] at 12:20 PM of the 300 Unit was done with the Environmental Services Consultant to show him the concerns that were found. Interview [DATE] at 12:20 PM with the Environmental Services Consultant, he stated, we are hiring a Maintenance Assistant to help the Maintenance to help with the daily maintenance of this building. Our last Assistant Maintenance person just retired, and we are looking to replace him. A review of the facility's computerized system for deep cleaning revealed the housekeeping staff were to clean the following: clean sprinkler heads; ceiling lights; check cubicle curtain and change if needed; clean windows and window sills with Green works glass cleaner; clean bedframes, head and foot boards; clean mattresses and wipe down with Pro Quaternary cleaner; clean walls; clean air conditioner grills and frames; fill soap and paper towel dispensers; clean bathroom sink, light, mirror and commode; clean and dust picture frames; high dust and wipe down door and trim; clean all furniture and polish; wet clean trash cans, wipe down and replace liner use Pro Quaternary cleaner; sweep and dust mop bathrooms and floor barring; clean plank, VCT and carpet floor and mop floor. A review of the facility's December Deep Cleaning Room Schedule revealed that eight (8) rooms were scheduled for deep cleaning each day starting 12/2/19 thru [DATE] for a total of [AGE] rooms. The IHS confirmed only eight (8) rooms out of the [AGE] rooms scheduled had received the deep cleaning treatment. An observation and interview with the Environmental Services Consultant (ESC) on [DATE] at 3:45 PM regarding the ventilation system in room [ROOM NUMBER]. The ESC was asked to check to see if the ventilation system was functioning properly in room [ROOM NUMBER]. The ESC held toilet paper to the vent and determined the ventilation system was not functioning properly. The ESC stated there were plans to start renovations in the facility in the near future but was unable state when the renovations would start. 2020-09-01