cms_SC: 2856

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
2856 PATEWOOD REHABILITATION & HEALTHCARE CENTER 425305 2 GRIFFITH ROAD GREENVILLE SC 29607 2019-08-09 600 G 1 1 0SKP11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Amended 01/07/2020 Based on record review and interview, the facility failed to prevent verbal abuse and neglect of Resident #27, 1 of 8 residents reviewed for abuse and/or neglect. Resident #27 made an allegation of verbal abuse and neglect from CNA (Certified Nursing Assistant) #1. Resident #27 waited 4 hours and 15 minutes for care, when the CNA finally responded to the resident a verbal altercation ensued and LPN (Licensed Practical Nurse) #4 asked CNA #1 to leave the room. The facility report indicated the facility substantiated neglect. Review of Resident #27's Social Service Progress Notes revealed the Resident stated that (s/he) is still shook up about it and that (s/he) is fearful that the CNA will try to harm (her/him). (S/he) stated that (s/he) stayed up all night worried that the CNA would come into (her/his) room and harm (her/him) or try to shoot (her/him) through (her/his) window. The findings included: Resident #27 was admitted to the facility with [DIAGNOSES REDACTED]. Review of Resident #27's medical record revealed the Annual MDS (Minimum Data Set) dated 2/25/19 and the Quarterly MDS dated [DATE] coded the resident as having a Brief Interview for Mental Status score of 15 indicating the resident was cognitively intact for daily decision-making. On 08/08/19, review of the Initial 2/24-Hour Report dated 5/26/19 revealed Resident #27 made an allegation of verbal abuse and neglect from CNA #1. The facility's report indicated the incident occurred on 5/26/19 at 3:05 PM. Review of the Social Service Progress Notes revealed a note dated and timed 5/31/2019 at 08:50 AM Social Services followed up with resident about the incident on Sunday 5/26 with the CN[NAME] Resident stated that (s/he) is still shook up about it and that (s/he) is fearful that the CNA will try to harm (her/him). (S/he) stated that (s/he) stayed up all night worried that the CNA would come into (her/his) room and harm (her/him) or try to shoot (her/him) through (her/his) window. Review of a facility timeline attached to the Five-Day Follow-Up Report revealed the CNA came into Resident #27's room at 08:00 AM in response to the resident's call light and told the resident the staff was in the middle of passing out breakfast trays and that s/he would return. The aide returned at 10:45 AM and provided pericare and brief change but no AM care. The CNA told Resident #27 s/he would return in 2 hours. The resident called for assistance when the CNA failed to return in 2 hours and finally got a response at 3:00 PM. A verbal altercation ensued and LPN #4 asked CNA #1 to leave the room. The statement indicated the facility substantiated neglect. CNA #1's facility obtained statement dated 05/26/19 indicated at 03:05 s/he saw Resident #27's light on. S/he went in to change her/him and the resident was upset, yelling, cussing, and screaming, saying 4 CNAs walked past her/his room and ignored the call light. The statement indicated the CNA told the resident s/he had no control over the other aides but that s/he would change her/him. The resident was still yelling and s/he asked a second shift CNA to come into the residents room along with LPN #4. The statement indicated the CNA explained that s/he was busy with other residents and did not know the resident waited an hour for help. In a telephone interview on 08/08/19 at 02:14 PM, CNA #1 confirmed her/his statement was accurate. The CNA stated the resident was changed at approximately 08:45 in the morning. S/he further stated the resident was to have vital signs taken every 2 hours because she had been running a fever and that s/he changed Resident #27 every time s/he took her/his vital signs and stated that it was documented on the ADL sheet. Review of Resident #27's Physician order [REDACTED]. Further review of the Follow-Up Report revealed statements from other staff members who witnessed the altercation. LPN #4's statement dated 05/26/19 indicated Resident #27 was upset and crying; stated her/his light had been on a long time and no one answered it. The Resident reported CNA #1 hadn't checked on her/him between 7 AM and 11:00 AM when s/he was finally changed and she smelt (sic) like fish. (CNA #1) said Yeah, I know, because I washed you. The resident started raising her/his voice, and LPN #4 told CNA #1 to leave the room [ROOM NUMBER] times before s/he finally left, slamming the door behind her. CNA #2's statement dated 05/26/19 stated the first shift CNA asked for help to change Resident #27. The resident was complaining to LPN #4 about the first shift CN[NAME] CNA #1 and Resident #27 began yelling at each other. CNA #2's statement indicated Resident #27 said CNA #1 had only changed her/him at 8:00 AM. The statement also stated the CNA (#1) walked up to resident very angry and pointed (her/his) finger at resident. They were arguing back and forth. (LPN #4) asked CNA (#1) to leave the room. The CNA continued to argue on (her/his) way out and slammed the door. CNA #3's statement dated 05/26/19 indicated s/he went into the room and that the LPN and two CNAs were in the room. CNA #3 indicated s/he saw and heard Resident #27 complaining about the morning shift care from her/his CN[NAME] The resident said the call light was taken away from her/him by CNA #1 and s/he was not changed. Resident #27 said s/he saw CNA #1 walk by and not answer her/his call light and CNA #1 said s/he had to do care for another resident and everybody saw that call light and did not answer. The statement indicated CNA #1 and the resident were arguing about the resident's daily care. CNA #3 indicated the LPN asked CNA #1 to leave the room and CNA #1 continued to argue on her/his way out and slammed the resident's door. RN (Registered Nurse) #3's statement dated 05/26/19 indicated Resident #27 asked CNA #1 to change her/him at 8:00 am. The CNA said trays were there and s/he would return after trays were passed out. S/he returned at 10:45 am, changed Resident #27 and provided peri-care. The resident said her/his son stated there was an odor in the room when he and family arrived. The CNA left and said s/he would return in 2 hours. Resident #27 stated s/he turned her/his light on and it was on for 57 minutes before it was answered. When CNA #1 came in s/he told the resident s/he was on break and that s/he was in the room with another resident. CNA #1 and Resident #27 started hollering at each other. The statement further indicated Patient states (s/he) held (her/his) hand back as if (s/he) was going to hit (her/him) and that the CNA threw the diaper and brief on the bed and left the room, slamming the door. The CNA came back with LPN #4, CNA #2, and CNA #3. Another confrontation started between Resident #27 and CNA #1. 2020-09-01