cms_SC: 2778

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
2778 RICHARD M CAMPBELL VETERANS NURSING HOME 425301 4605 BELTON HIGHWAY ANDERSON SC 29621 2018-04-19 607 D 1 1 2DMF11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review the facility failed to ensure staff followed protocol for caring for difficult and combative residents. Certified Nursing Aide (CNA) #1 did not call for assistance or pause care when Resident #19 became combative, resulting in accidental or inadvertent physical contact for 1 of 1 resident reviewed for abuse. The findings included: Resident #19 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the Facility Investigation on 4/17/18 at approximately 10:21 AM revealed the Resident #19 was combative while CNA #1 was obtaining vitals. The CNA inappropriately touched the resident's face. The resident was assessed with [REDACTED]. At the completion of the investigation it was determined that CNA #1 inappropriately touched the resident and was dismissed. Review of Facility Interviews on 4/17/18 at approximately 11:47 AM revealed CNA #2 entered the room of Resident #19 to assist CNA #1. S/he observed the CNA to grab the nose of the resident when s/he became combative and then slap the resident as s/he continued to be obstreperous. Facility Interview of CNA #1 confirmed s/he slapped the resident accidentally. Interview with CNA #2 4/17/18 at approximately 4 PM confirmed that she entered the room of Resident #19 to assist CNA #1. S/he witnessed the CNA grab the resident's nose when s/he became combative. When the resident continued to fight the CNA, s/he slapped the resident. CNA #2 confirmed the resident appeared unharmed. She confirmed she had never had prior care concerns from CNA #1. Abuse prohibition interviews were conducted throughout 4/19/18 with nursing staff. There were no concerns. All CNAs stated that if handling an obstreperous resident they would ensure safety, withdraw, ask for assistance, and reapproach. Interview with Director of Nursing (DON) on 4/19/18 at approximately 4:20 PM revealed CNAs were expected to walk away and/or ask for assistance when providing care to obstreperous residents. Review of policy for Catastrophic Reactions on 4/19/18 at approximately 7 PM revealed staff is to Prevent escalation by backing off. If the resident does not present a danger to themselves or to others, observe them from a distance and allow them to settle down without intrusion before proceeding further. 2020-09-01