cms_SC: 2080

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.

Data source: Big Local News · About: big-local-datasette

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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
2080 OAKBROOK HEALTH AND REHABILITATION CENTER 425156 920 TRAVELERS BOULEVARD SUMMERVILLE SC 29485 2017-06-29 155 D 0 1 4QY511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** The facility failed to ensure accuracy of medical records for Code Status and the Advance Directives Notification Worksheet in the medical record for 1 of 21 residents reviewed. Resident #141's Advance Directive was not complete in the clinical record and was in conflict with the record maintained by Social Services. The findings included: Resident #141 was admitted on [DATE] with [DIAGNOSES REDACTED]. On [DATE] at 9:09 AM a review of the Advance Directives Section of the Medical Record kept on the nursing unit revealed that the form titled; Advance Directives Notification and Work Sheet was signed by Resident #141 and no date completed. On the same form, the section that states: Please Choose One: ___I do want CPR: Attempt Cardio [MEDICAL CONDITION] Resuscitation (CPR) Choosing CPR means that all medical treatments will be done to prolong life when the heart stops or breathing stops. ___I do not want CPR: Do not Attempt Resuscitation (Allow Natural Death) This means no attempts will be made to restart the heart or breathing if either stops allowing for a natural death. No election was made for CPR as there was no election checked by the resident. The form shows a signature on the Social Service line and dated [DATE]. [DATE] at 2:43 PM, LPN#1 verified that no selection was checked on the Advance Directives Notification Worksheet located in the medical record kept on the nursing unit. On [DATE] at 2:53 PM, Social Worker #2 verified that the date should have been included beside the Resident #141's signature and form should have had an election made for CPR. On [DATE] at 3:30PM Social Worker #2 presented a copy of the Advance Directives Notification Worksheet that h/she keeps in a file in his/her office that has checkmark by I do not want CPR and stated: I keep the original copy in a file in my office. On [DATE] 9:44AM the Administrator verified that the copy of Advance Directives Notification Worksheet in Resident #141's medical record does not match the copy that Social Worker #2 keeps in her office. The Policy and Procedure titled: Social Services Policies and Procedures, Subject: Advance Directives states, Procedures: 4. B. Once it has been determined that the patient/resident wishes to be a DNR patient/resident, the following procedures must be followed IN ADDITION to those outlined in the Policies of Practice for Advance Directives 1) The patient/resident's decision must be CLEARLY AND CONCISELY documented in their chart AND on the patient's/resident's care plan .2) The properly executed Do Not Resuscitate consent from must be provided to the attending physician AND a Do Not Resuscitate order must be provided in the current orders the patient's/resident's medical record. 2020-09-01