cms_SC: 1906

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
1906 SANDPIPER REHAB & NURSING 425146 1049 ANNA KNAPP BOULEVARD MOUNT PLEASANT SC 29464 2019-11-22 689 D 1 1 02V311 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, interview, record review, and facility policy review, the facility failed to identify outdated wander guard for 1 of 3 sampled wander guard residents (Resident #3[AGE]). Nursing staff did not identify Resident #3[AGE]'s wander guard had expired on [DATE]. The findings included: Review of the facility's policy entitled Wander Policy dated [DATE], revealed the facility identified residents who walked or wheeled about unrestricted, and posed a threat to leave the facility unattended without staff's knowledge. The purpose of the policy was to ensure safety. The wandering policy procedure included (but not limited too) a wandering device as a safety intervention. The facility's Wander Band Check Policy dated [DATE] revealed wander guard band would be monitored. The policy revealed a weekly inspection would be conducted by the Unit Manager or designee. The wander guard band was to be monitored every shift for placement and effectiveness by the nurse and documented on the Treatment Administration Record (TAR). Review of Resident #3[AGE]'s clinical record revealed an admitted [DATE] with [DIAGNOSES REDACTED]. According to the resident's most recent Quarterly Minimum Data Set (MDS) assessment dated [DATE], Resident #3[AGE] was cognitively intact with a Brief Interview Mental Status (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. 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 the left wrist. The wander guard bracelet had an encryption which read Do Not Use after [DATE]. Resident #3[AGE] was observed on [DATE] at 10:23 AM in wheelchair (w/c) outside of the beauty shop. The resident's wander guard revealed an unchanged expiration date. On [DATE] at 2:40 PM, observation revealed the wander guard expiration date remained [DATE]. Observation of Resident #3[AGE] on [DATE] at 8:46 AM revealed the resident lying in bed with the expired wander guard bracelet. Continued observation on [DATE] at 2:20 PM revealed the resident in their room with the expired wander guard. During the observation, the resident remarked that the expiration date was also her son's birthday. On [DATE] at 2:29 PM interview was conducted with Certified Nursing Assistant (CNA) #1 revealed the facility maintains a list of residents who should have wander guards. The CNA stated being trained to redirect residents who wander. She stated the exit door would alarm if a wander guard resident got close to it. However, the nurses are responsible for monitoring wander guard placement and function. Interview on [DATE] at 2:40 PM with the Registered Nurse (RN) #1 revealed being responsible for Resident #3[AGE]'s care needs. The RN stated every shift a resident's wander guard was check for placement and functioning. She continued to reveal the wander guard expiration dates were monitored by the Unit Secretary. During the interview, RN #1 observed Resident #3[AGE]'s wander guard and validated that it had expired. On [DATE] at 3:09 PM an interview with the Magnolia Unit Secretary revealed being responsible for weekly monitoring the resident's wander guard for expiration. She stated every week residents' wander guard expiration dated were monitored. The expiration dates were documented on a monthly log sheet. She indicated if the wander guard was expiring the Assistant Director of Nursing (ADON) was notified to obtain a new wander guard. During the interview the Unit Secretary provided the [DATE] Wander guard weekly checks log. The log revealed Resident #3[AGE] had an expiration date of [DATE]. Continued review of the log revealed Resident #3[AGE]'s wander guard was checked on [DATE] and [DATE] (but not changed). Interview with the ADON on [DATE] at 3:15 PM revealed she monitors residents twice a day to ensure care and services were provided. The ADON indicated during her monitoring rounds she ensures all interventions are in place. She indicated being responsible for ensuring the wander guard functioning was accurate. The ADON stated the importance of monitoring the wander guard expiration date was to ensure resident safety. 2020-09-01