cms_SC: 283

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
283 MAGNOLIA MANOR - INMAN 425032 63 BLACKSTOCK ROAD INMAN SC 29349 2018-12-20 684 E 0 1 0G2K11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to provide care and services to meet the residents' needs for Residents #148 and #116 (2 of 2 residents reviewed for care and services). The facility failed to obtain orthostatic blood pressures as ordered for Resident #148. In addition, hospice communication was not accessible, the hospice and facility care plans were not integrated, and hospice did not attend the care plan conference for Resident #116. The findings included: The facility admitted Resident #148 on 11/21/18 with [DIAGNOSES REDACTED]. On 12/17/18 at 02:19 PM, review of the Vital Signs and Weight Record indicated orthostatic blood pressure (BP) was to be obtained BID (twice a day) for seven days. There were no documented blood pressures on the form. Review of the Physicians telephone orders revealed an order dated 11/28/18 for orthostatic BP lying and sitting BID for 5 days related to dizziness. Review of the nurses' notes revealed a blood pressure documented daily without indication whether it was sitting or lying down. During an interview on 12/17/18 at 02:30 PM, Licensed Practical Nurse (LPN) #1 confirmed the orthostatic blood pressures were not obtained as ordered. The facility admitted Resident #116 with [DIAGNOSES REDACTED]. Review of the resident record on 12/18/18 revealed this resident was admitted to hospice on 10/24/18. The Unit Nurse was asked where hospice information was kept for each resident. S/he responded, in a separate notebook. LPN #6 was asked to help locate the notebook which was not on the unit. It took one hour for the nurse to locate the book which was in Medical Records. Review of the hospice care plan and the facility care plan revealed they were not integrated. The facility provided a copy of the care plan on 12/18/18. During interview with the Care Plan Coordinators, they stated the care plan had just been updated, although the resident had been admitted to hospice on 10/24/18. One care plan meeting had been held for this resident, but the hospice nurse did not attend. The Certified Nursing Assistant, Chaplain, and Social Service notes were in the notebook, but staff had no access to them since they were in Medical Records. 2020-09-01