cms_SC: 284

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
284 MAGNOLIA MANOR - INMAN 425032 63 BLACKSTOCK ROAD INMAN SC 29349 2018-12-20 688 E 0 1 0G2K11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to accurately assess and provide treatment and services to maintain or improve passive range of motion for Resident #42 (1 of 1 resident reviewed for limited range of motion). The findings included: The facility admitted Resident #42 on 04/21/15 with [DIAGNOSES REDACTED]. On 12/17/18 at 01:34 PM, record review revealed a joint mobility screen dated 06/27/18 that stated Resident is quadraplegic. There was no documentation of the resident's passive range of motion (PROM) on admission. Further review revealed a second assessment dated [DATE] that also stated Resident is quadraplegic. The assessment did not include measurement of the resident's current mobility status and did not identify if there was any opportunity for improvement. There was no documentation if the resident had previously received treatment and services for mobility or why the treatment/services were stopped. Review of the 04/20/18 annual Minimal Data Set (MDS), Admission MDS dated [DATE], and Quarterly MDS dated [DATE] revealed the resident was coded as having impaired range of motion bilaterally of the upper and lower extremities. During an individual interview on 12/17/18 at approximately 01:15 PM, the resident confirmed that s/he was not able to move his/her upper or lower extremities. A Quarterly Therapy Screening Form dated 10/04/18 was reviewed and indicated no therapy evaluation was recommended. Review of the physician's orders [REDACTED]. Review of the care plan on 12/18/18 at 03:11 PM revealed contractures/[DIAGNOSES REDACTED] of the bilateral upper extremities was identified as a problem area and included the intervention to assess for increased pain and/or stiffness with daily care but did not include any intervention to maintain range of motion. During an interview at that time, Licensed Practical Nurse (LPN) #1 confirmed that s/he did not assess the resident's passive range of motion. The LPN stated s/he assumed it was an assessment of active range of motion but confirmed the instructions stated, Draw a line through the arc showing how far the limb can be moved (PROM). When asked how s/he would know if the resident had a decline in ROM from his/her baseline or was starting to develop a contracture, the LPN stated, Right. 2020-09-01