cms_SC: 2601
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2601 | WESTMINSTER HEALTH & REHAB CENTER | 425291 | 831 MCDOW DRIVE | ROCK HILL | SC | 29732 | 2017-11-15 | 155 | D | 0 | 1 | G4YM11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to ensure residents were afforded the opportunity to formulate their own Advance Directives for 1 of 11 residents reviewed for Advance Directives. (Resident #79) In addition, the facility failed to have a signed physician's orders [REDACTED].#41) The findings included: The facility admitted Resident #79 with [DIAGNOSES REDACTED]. On 11/14/17 at 11:00 AM, a review of Resident #79's medical record revealed that on Resident #79's Resuscitation Status Consent Form there was a check on the line that stated, DO NOT Resuscitate Status, and the form was not signed by Resident #79. Review of Resident #79's Minimum Data Set ((MDS) dated [DATE] revealed under section AC-500 a score of 13 indicating Resident #79 was independently able to make decisions. On 11/14/17 at 3:00 PM during an interview with the Director of Social Services, s/he verified Resident #79s Resuscitation Status Consent Form was not signed by the resident, and s/he indicated that Resident #79 was able to make decisions independently. The facility admitted Resident #41 with [DIAGNOSES REDACTED]. Review of the medical record on 11/14/17 revealed a Resuscitation Status Consent Form dated 7/27/17 which indicated Resident #41 wanted to be a DNR. Further review of the medical record revealed there was no valid physician's orders [REDACTED]. During an interview on 11/14/17 at approximately 2:45 PM, the surveyor requested documentation from the Social Services department related to the resident's code status. On 11/14/17 at approximately 3:30 PM, the Social Services Director informed the surveyor that nursing staff reviewed the medical record and determined that there was no order for DNR status. The Social Services Director stated that staff would obtain a clarification order 11/14/17. On 11/14/17 at approximately 4:00 PM, the Director of Nursing (DON) reviewed the Advance Directive paperwork and stated the he/she would obtain the physician's orders [REDACTED].>On 11/15/17 at approximately 10:00 AM, the Social Services Director stated that the facility had recently begun using a Do Not Resuscitate Order form as part of the Advance Directive paperwork. The Social Services Director had no explanation for why Resident #41's record did not have a valid MD order upon review on 11/14/17. | 2020-09-01 |