cms_SC: 2396

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
2396	MCCOY MEMORIAL NURSING CENTER	425174	207 CHAPPELL DRIVE	BISHOPVILLE	SC	29010	2016-10-06	159	E	0	1	EUVJ11	Based on record review and interviews, the facility failed to assure that 4 of 5 residents sampled for personal funds had written authorizations to manage their funds and/or authorizations for specific deductions. The facility also failed to provide evidence that quarterly statements were sent to residents whose personal funds were managed by the facility. The findings included: During interviews on 10-3-16 and 10-4-16, Residents #11, #41, #90, #119 and #128 stated they had personal funds accounts with the facility but that they had not been advised of account balances at least quarterly. During an interview at 1:10 PM on 10-6-16, the Business Office Manager (BOM) reviewed the resident trust account and stated that Resident #119 had not placed money in the account prior to 7-16 when s/he had last sent quarterly statements. (This was verified by review of the resident's account.) The BOM stated that s/he kept a copy of quarterly statements in the residents' files. When asked, the BOM and Business Office Assistant (BOA) were unable to locate the statement copies to verify they had been sent. Upon investigation, they stated that Resident #128's statement was noted in the computer to be sent to her/his son, instead of to the resident. Review of the accounting for the above-listed residents with the BOM and BOA on 10-6-16 at 1:38 PM revealed that 4 of the 5 had no authorizations to manage personal funds and/or authorization for specific deductions from their funds: (1) Resident #119 had monies in the Personal Funds account managed by the facility but had no written authorization on file. Review of the admission agreement signed 4-29-16 revealed a checkmark in front of the statement: The resident chooses not to maintain a Personal Fund with the Facility. Review of the accounting period from 7-1-16 through 9-30-16 revealed deductions from the account for room and board and beauty shop charges without specific authorization to do so. (2) Resident #11 had monies in the Personal Funds account managed by the facility but had no written authorization on file. Review of the admission agreement signed on 2-23-15 by the Power of Attorney revealed no checkmark in front of the statement: The resident authorizes the Business Office of the Facility to maintain a Personal Fund Account for the resident . Review of the accounting period from 7-1-16 through 9-30-16 revealed deductions from the account for room and board, beauty shop charges, and monthly deductions of $129.00 from the account for dental insurance without specific authorization to do so. (3) Resident #128 had monies in the Resident Trust account managed by the facility for which a family member gave written authorization. Review of computerized financial records revealed that the quarterly statements were being sent to the family member instead of the resident. Review of the Brief Interview for Mental Status (BIMS) revealed that the resident scored 15, indicating s/he was cognitively intact. Further record review revealed the resident to be alert, oriented, and capable of making her/his own decisions. There was no evidence in the record that the resident had authorized an alternate decision maker. (4) The facility had a written authorization to manage a Personal Funds Account for Resident #41 which stated: I understand and agree that this gives the facility, through its designated personnel, approval to transfer monies from the account to cover any patient liability charges, or any personal care items not covered under the Medicaid program which appears on my receivable account while a resident or upon discharge. Review of the accounting period from 7-1-16 through 9-30-16 revealed monthly deductions of $129.00 from the account for dental insurance with authorization signed by a family member, instead of the resident. The Business Office Manager stated s/he was not sure of the resident's ability to authorize withdrawals. Review of the BIMS revealed that the resident scored 15, indicating s/he was cognitively intact.	2020-09-01