cms_SC: 2770

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
2770 LAKE MARION NURSING FACILITY 425300 1527 URBANA ROAD SUMMERTON SC 29148 2019-11-04 558 D 0 1 09P711 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record review, and resident and staff interviews, the facility failed to provide an appropriate call light for 1 of 1 resident reviewed for accommodation of needs (Resident #233). Specifically, Resident #233 had difficulty using a standard push button call light due hand deformities. The findings included: According to the Face Sheet, Resident #233 was admitted to the facility on [DATE]. [DIAGNOSES REDACTED]. According to the admission Minimum Data Set (MDS) assessment, dated 09/26/19, Resident #233 was moderately cognitively impaired with a Brief Interview of Mental Status (BIMS) score of 12 out of 15. He required extensive to total assistance with all activities of daily living (ADL). He had functional limitation in range of motion to both of his upper and lower extremities. Resident #233 was interviewed and observed on 11/02/19 at 9:45 AM. He was laying in his bed. His hands were observed to be disformed and they flexed down at the wrist. His fingers were flexed towards his palm and forearm. He was able to move some fingers slightly, but it was limited. His call light was observed. He had a regular push button call light. The call light was observed to be clipped to his pillow and the call light was above his left shoulder, which was out of his reach. The resident's care plan was reviewed. According to the ADL care plan dated 09/26/19, Resident #233 required total care with all ADL's related to the inability to use his hands due to gouty arthritis. Staff does most of his feeding due to deformities of hands. Resident #233 was interviewed and observed on 11/04/19 at 10:24 AM. His call light was not visually seen. When asked where his call light was, he said he didn't know. He said he was looking for it and couldn't find it. At 10:26 AM, the Nursing Home Administrator (NHA) entered the room, along with the resident's family. The NHA was asked to find Resident #233's call light. The NHA looked for the call light and it was tucked underneath his sheets, which made it difficult for the resident to find. Resident #233 told the NHA that he couldn't find his call light. Resident #233 was interviewed and observed on 11/04/19 at 2:53 PM. He was asked to press his call light. The resident was laying in his bed and his call light was laying on his lap. He moved his left hand to try and press the push button. He had extreme difficulty with grasping the call light in order to be able to press the button. He had thought he pressed the button, but the call light did not turn on. The call light was functional. He agreed that the call light was difficult for him to use. He said he didn't press the button hard enough. He said that his call light wasn't always in reach. He said sometimes it was on the floor. Unit Manager #114 was interviewed on 11/04/19 at 3:07 PM. She said Resident #233 could use the call light if it was placed in his hand. Otherwise, it was more difficult for him to use the light. She was not aware the facility had any other type of call light besides the standard push button call light. She then spoke with the Director of Nursing (DON). She said they had call lights that were a flat pad, or pancake pad, that could be pressed. She did not know the resident had difficulty pressing the call light, as his call light would go off at times. She agreed that a pancake call light would be much easier for him than the standard call light, due to his hands. On 11/04/19 at 3:14 PM, Resident #233 had the pancake call light hooked up in his room. Unit Manager #114, the DON, and the Assistant Director of Nursing (ADON) were all in the resident's room. They said he was able to press the light with no problems. Resident #233 said the new call light would be much easier for him to use. Unit Manager #114 was interviewed on 11/04/19 at 4:25 PM. She said the new call light was much better for him. The DON was interviewed on 11/04/19 at 5:21 PM. She said the new call light was much better for him. The NHA as interviewed on 11/04/19 at 5:46 PM. She said the pancake call light would be much better for him. She agreed that with his hands, the normal call light would have been difficult to use. 2020-09-01