cms_SC: 2771

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
2771 LAKE MARION NURSING FACILITY 425300 1527 URBANA ROAD SUMMERTON SC 29148 2019-11-04 725 D 0 1 09P711 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations and resident and staff interviews, the facility failed to respond timely to a resident's request. Specifically, the facility failed to assist Resident #233 to sit on the side of the bed in a timely manner. This affected one of one resident. 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). Resident #233 was interviewed on 11/02/19 at 9:37 AM. He said the staff did not check on him or provide the care that he should get. He said staff did not change him. He said sometimes it could be hours before he would see someone. Resident #233 was interviewed and observed on 11/04/19 at 2:53 PM. During the interview, Certified Nurse Aide (CNA) #55 came into the room at 2:57 PM. She was making her rounds since she just came on shift. Resident #233 requested to sit on the side of the bed. She said she needed to get help and she would be back. After she left, Resident #233 made the comment that she would not be back. He said the staff never come back when they say they will. He said they never come and help him. Resident #233's room continued to be monitored. CNA #55 had not gone back to the room after 15 minutes. There was no one else that entered the room either. At 3:11 PM, Unit Manager #114 was informed the CNA had not gone back into Resident #233's room after he requested to sit on the side of the bed. Unit Manager #114, the Director of Nursing (DON), and the Assistant Director of Nursing (ADON) all went down to Resident #233's room. At 3:14 PM, the room was observed. Unit Manager #114, the DON, and the ADON were in the room. Resident #233 was requesting to sit on the side of the bed. They got the nurse to assist with sitting him up. CNA #55 was interviewed on 11/04/19 at 3:20 PM. When asked about why she did not return to Resident #233's room, she said she was not assigned to him and she was waiting for his assigned CNA to get in. She said she had just spoke with the assigned CNA and she said Resident #233 was not allowed to sit on the side of the bed without support. When she came into Resident #233's room, she was the only CNA there at the time of shift change and she was checking in on everyone. She always did that when she came on shift. She said she would assist residents that she wasn't assigned to, but she was not very familiar with Resident #233. She said she struggled to find someone to assist her and it was probably 15 to 20 minutes before she saw his assigned CN[NAME] She said she should have gone straight back to his room and communicated that she was unable to help him at that time. Unit Manager #114 was interviewed on 11/04/19 at 4:25 PM. She said they were able to get Resident #233 up and he sat on the side of the bed for a short period. She said Resident #233 needed two staff to assist him. She said CNA #55 should have grabbed the first person she saw to assist her with sitting him up. She could have grabbed the nurse, another CNA, or she could have asked her as well. She said all staff have been told that every resident is theirs and they need to assist every resident; not just the residents they are assigned to. She said if the CNA could not have found anyone to help her, then she should have gone back to the room and at least explained the situation. The DON was interviewed on 11/04/19 at 5:21 PM. She said that requests from residents should be taken care of in a timely manner. If staff need another person, then they need to find someone that can help. CNA #55 could have gotten the nurse, another CNA, the Unit Manager, or herself to help. She said residents should be assisted as soon as possible. It could take a few minutes to find someone, but anyone could assist. 2020-09-01