cms_SC: 1904

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
1904 SANDPIPER REHAB & NURSING 425146 1049 ANNA KNAPP BOULEVARD MOUNT PLEASANT SC 29464 2019-11-22 641 D 1 1 02V311 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, interview, and record review, it was determined that 1 of 30 sampled residents was wearing a wander guard without being assessed for elopement risk (Resident #3[AGE]). The findings included: Review of the facility's policy dated 6/15/16, titled Elopement Risk revealed the facility would identify residents at risk for elopement, and implement interventions, evaluate and utilize the elopement risk assessment. The policy indicated residents who are at risk for wandering behaviors will have a wander guard device placed on person or ambulation device. Further review of the policy revealed Elopement Risk Assessments will be completed quarterly for residents deemed to be at risk for elopement. Review of Resident #3[AGE]'s clinical record revealed an admitted [DATE] with [DIAGNOSES REDACTED]. According to the resident's comprehensive Annual Minimum Data Set (MDS) assessment dated [DATE], Resident #3[AGE] was moderately impaired cognition, with a Brief Interview Mental Status (BI[CONDITION]) of 9. The facility assessed the resident to have no mood or behaviors. The resident exhibited no wandering behaviors. Continued review of the MDS revealed Resident #3[AGE] required the limited assistance of one staff person for bed mobility, toilet use, and personal hygiene. The resident required supervision assistance with transfers, walking in and out of room, moving on and off unit, and eating. According to the resident's most recent Quarterly MDS assessment dated [DATE], Resident #3[AGE] was cognitively intact with a BI[CONDITION] of 14. The facility assessed the resident to have no mood or behaviors. The resident had no wandering behaviors. Continued review of the MDS revealed Resident #3[AGE] required the extensive assistance of one staff person for bed mobility, dressing, toilet use, and personal hygiene. The resident required supervision assistance with walking in and out of room, moving on and off unit, and eating. Review of the clinical record from 1/13/19 through 10/21/19 of the annual/significant change and quarterly comprehensive assessments revealed the facility did not assess the resident for risk of elopement. Even though, during the assessment periods January - August 2019 identified Resident #3[AGE] revealed no behaviors of wandering. Observation of Resident #3[AGE] on [DATE] at 12:11 PM revealed the resident was self-propelling around the facility. The resident had a wander guard bracelet on left wrist. Resident #3[AGE] was observed on 11/19/19 at 10:23 AM in wheelchair (w/c) outside of the beauty shop. During the observation, the resident verbalized waiting for a hair appointment. Observation of Resident #3[AGE] on 11/20/19 at 8:46 AM revealed the resident lying in bed. Observed resident on 11/20/19 at 10:45 AM in a group religious activity. Continued observation at 11:30 AM after the religious activity ended revealed Resident #3[AGE] propelling in w/c back to room. On 11/21/19 at 9:29 AM, an interview conducted with the Director of MDS and Director of Nursing (DON) revealed Resident #3[AGE]'s elopement assessment was last completed 2/12/18. The MDS Director revealed an assessment was not needed due to the resident being care planned for elopement. He further stated the Interdisciplinary Team (IDT) discussed the use of wander guards during care plan meetings. However, the DON indicated the facility should conduct an elopement assessment with MDS reviews and significant changes. 2020-09-01