cms_SC: 285

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
285 MAGNOLIA MANOR - INMAN 425032 63 BLACKSTOCK ROAD INMAN SC 29349 2018-12-20 689 G 1 1 0G2K11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, record review and interview, the facility failed to identify a risk of falling when turning in a geri-chair with 1 staff member for Resident #7 and failed to use a bed alarm as ordered for Resident #94 (2 of 4 reviewed for accidents/falls). The findings included: The facility admitted Resident #7 with [DIAGNOSES REDACTED]. The resident had a BIMS (Brief Interview for Mental Status) of 15 denoting ability to make own decisions. The Minimum Data Set (MDS) documented that this resident was a total care resident needing total lift with 2 person assist for mobility and transfers. The Physicians Order read: 2 Certified Nursing Assistant (CNA) Hoyer Lift. On 10/14/18 resident was seated in a gerichair. The CNA proceeded to try to transfer the resident from the gerichair to the bed by herself. While lifting resident in gerichair to place lift pad under the resident, the resident slipped and fell to the floor. The CNA later stated the resident slipped and resident was eased down to the floor. The resident stated in an interview on 12/20/18 at 8 AM that the (staff) dropped her. Licensed Practical Nurse (LPN) # 5 assessed the resident after the fall and in his/her opinion did not see any injury. The Physician was notified and stated, Let the Nurse Practitioner (NP) check the resident in the morning. The resident asked to go to the hospital. The resident continued to complain and asked for his/her leg to be X-rayed. The Nurse told the resident s/he could not call for an X-Ray. In a late entry on 10/16/18 at 1 AM clarification note, the Nurse told the resident s/he could not order an X-Ray without calling the doctor, but the resident could send himself/herself out. The Nurse told the resident to let his/her meds take effect and see the NP in the morning. The family called Emergency Medical Services (EMS) to do a welfare check. EMS came to facility and assessed the resident. EMS wanted to take him/her to the emergency room (ER), but the resident refused. They called a doctor at the ER to see what to do. Since the resident refused, the ER doctor advised them to leave him/her at the facility. There was no documentation of the NP checking the resident. The resident went to [MEDICAL TREATMENT] on 10/15/18 and was transferred to the hospital from there. A scan was done and the resident was found to have a fractured right ankle. The resident was treated and returned to the facility on [DATE] with a splint to the right foot and leg. Five CNA's were interviewed about care of residents with a fall risk and transfers. All of the CNA's knew to look in the resident profile in the kiosk for instructions on how to lift residents and the number of staff needed. The Physician was interviewed via telephone twice on 12/20/18. At 7:45 AM, the Physician could not remember anything about the incident, except the nurse did call him. About 8:15 AM, the Physician called back and made a statement corresponding to the information given by the facility related to the incident. The facility admitted Resident #94 on 07/29/2014 with [DIAGNOSES REDACTED]. During the initial tour on Unit 200, Resident #94 was out of the room. A bed alarm box without batteries was noted on the roommates over table. The bed alarm sensor pad was noted on resident #94's bed and the cord for the box was under the bed. Further observations 12/16/18 at 12:30 PM revealed the alarm box remained on the roommates over table with no batteries. New batteries were applied and alarm was functioning at 4:00 PM when tested Record Review revealed that resident #94 had a Physicians Order for bed alarm to bed at all times with function and placement checked every shift. During an interview on 12/16/2018 at approximately 10:43 AM, CNA #1 confirmed that the box had no batteries and was not connected to the sensor pad cord. On 12/16/2018 at 3:50 PM, Registered Nurse #1 stated, I saw the last 2 days that the bed alarm was not in place and that is why I circled it on the treatment flowsheet. 2020-09-01