cms_SC: 22

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

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
22	BRUSHY CREEK POST ACUTE	425004	101 COTTAGE CREEK CIRCLE	GREER	SC	29650	2018-06-26	609	E	1	0	Y9Q111	> Based on record review, interview, and review of the facility policy titled Reporting of Alleged Abuse to Facility Management, the facility failed to report injuries of unknown source to the State Agency for 2 of 3 sampled residents reviewed for abuse. The facility failed to report injuries of unknown source for Resident #2 and Resident #3 to the state agency. The findings included: Review of Resident #2's health status note dated 5/30/18 revealed a note from the Risk Manager which stated Resident has a 1.5mm purple discoloration to his/her right bottom inner eye. Residents reports s/he is not really sure how it could have happened nor did s/he know it was there but s/he stated 'Oh it could have happened by rubbing my eye, it doesn't hurt, so don't worry about it' Will continue to monitor. Review of the facility incident report for resident #2 dated 6/19/18 reveled the incident description section which stated I was called to Resident room today regarding bruising to bilateral hands with bruising extending from left hand to left forearm. Resident is alert and orientated and stated I don't know how it happened but I pull my table over, eat all my meals in my bed with the tray on my lap, I have arthritis but no, my hands don't hurt. Review of Resident #2's progress notes dated 6/19/18 revealed a note from a Licensed Practical Nurse (LPN) which stated Unidentified bruising on patients top right and left hand. The CNA (Certified Nursing Assistant) noticed as s/he came on for the 7a-7p shift today and brought it to my attention. Patient appears to be in no pain at this time. __ __ in risk management was notified, visited the patient and said s/he would document on the incident. Will continue to monitor. Review of the facility incident report for Resident #3 dated 4/28/2018 revealed the incident description section which stated Yellow/brownish bruise to Left FA new AC Reddish 7cm bruise to med, right back Resident stated s/he thought is may have occurred when s/he wrapped arm around bed rail to assist with turning/repositioning. Mid, right back possible a sheet or sling shear. Denies anyone harmed (him/her). In an interview with the Risk manager on 6//26/18 at 9:36 AM s/he stated that she did not report both incidents for Resident #2 to the State Agency because the resident had a high BI[CONDITION] (Brief Interview for Mental Status) and the resident did not report bruises to her/him the resident did not know they (the bruises) were there and it did not hurt. S/he stated that s/he did not report the incident for Resident #3 to the State Agency because the resident had a high BI[CONDITION] and can tell you what happened. The Risk Manager confirmed that Resident #3 did not know how s/he received the bruises but thought it may have happened during repositioning/transfer. Review of the facility's policy titled Reporting of Alleged Abuse to Facility Management revealed definitions of abuse to include Injury of unknown source is defined as an injury that meets both of the following conditions: (1) The source of the injury was not observed by any person or the source of the injury could not be explained by the resident; and (2) The injury is suspicious because of: (a) the extent of the injury; or (b) the location of the injury (e.g. the injury is located in an area not generally vulnerable to trauma); or (c) the number of injuries observed at one particular point in time; or (d) the incidence of injuries over time. Pursuant to the Elder Justice Act, any employee that suspects a crime has occurred against a resident of the facility must report the incident to the State Survey Agency and local law enforcement agency.	2020-09-01