cms_SC: 2869
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2869 | HERITAGE HEALTHCARE OF PICKENS | 425306 | 163 LOVE & CARE ROAD | SIX MILE | SC | 29682 | 2018-06-13 | 600 | D | 1 | 1 | 577J11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review the facility failed to keep residents free from abuse for 1 of 3 residents reviewed for abuse. Resident #23 was abused by Registered Nurse (RN) #2 on at least two separate occasions. The findings included: Resident #23 was admitted to the facility 6/3/16 with [DIAGNOSES REDACTED]. Review of RN #3's statement on 6/12/18 at approximately 9 AM revealed that RN #3 witnessed RN #2 yelling at Resident #23 on 9/10/17. RN #2 was shouting that the resident had to wear incontinence briefs because there was no clean underwear. Resident #23 was yelling back at RN #2 that s/he did not want to wear a diaper. Review of statement of Certified Nursing Aide (CNA) #1 on 6/12/18 at approximately 9 AM revealed that on 9/10/17 between 4 and 5 PM, Resident #23 had wet her/his clothing. RN #2 told Resident #23 that only babies wet their clothes and that s/he needed to wear incontinence briefs. RN #2 was also trying to force Resident #23 to pick up her/his mess. CNA #1 stepped in to help followed by RN #3. Review of statement of CNA #2 on 6/12/18 at approximately 9 AM revealed RN #2 told Resident #23 to pick up his/her clothes and put on incontinence briefs. When CNA #3 entered, RN #2 had already left and Resident #23 was on the bed fussing and crying. CNA #2 immediately contacted the Activities Director, who also had good rapport with the resident. Review of Social Worker (SW) #1's statement on 6/12/18 at approximately 9 AM revealed that it was reported on 9/11/17 that Resident #23 had defecated on the floor and RN #2 had ordered her/him to clean it up. A visitor witnessed this. Review of the Visitor's statement on 6/12/18 at approximately 9 AM revealed that the Visitor heard RN #2 raising her/his voice and ordering Resdient #23 to pick up something. RN #2 told the resident, We're going to stand here 'til you pick it up. This went on a long time. Review of the Facility's investigation file of the abuse on 6/12/18 at approximately 9:16 AM revealed no 2-hour reportable. Review of RN #2's statement on 6/12/18 at approximately 9:20 AM revealed the following: 1. On Saturday (presumeably 9/9/17 but dated [DATE]) a staff member came to RN #2 stating that Resident #23 had defecated on the floor. RN #2 got a bag and said, We are going to clean this up. 2. On Sunday (presumeably 9/10/17 but dated 8/10/17) Resident #23 had peed on her/his clothing and was standing naked. RN #2 brought her/him to the room and retrieved incontinence briefs becaues there was no more clean underwear. The resident became agitated and RN #2 told the resident to pick up her/his dirty clothes to distract her/him. CNA #1 entered the room and RN #2 told her to leave because s/he was not helping and was only agitating the resident. Then RN #3 entered and tried to calm the resident. RN #2 left because the resident was upset with him/her about the incontinence briefs. Interview with SW #1 on 6/12/18 confirmed his/her statement and revealed that Resident #23 does not like to wear incontinence briefs because she/he views them as diapers and thus unsuitable for an adult. SW #1 also stated that RN #2 had not shown this kind of behavior in the past but stated, She's/hes from up north, so her/his tones and things are a lot different. They can appear rougher. Interview with the Visitor on 6/12/18 at approximately 9:53 AM confirmed his/her statement. Review of RN #2's personnel file on 6/12/18 at approximately 10:10 AM revealed there had been two prior disciplinary incidents but neither were related to abuse. Interview with RN #3 on 6/12/18 at approximately 10:42 AM confirmed his/her statement and also confirmed that the resident prefers underwear to incontinence briefs. RN #3 had not seen this type of behavior from RN #2 before the incident. Interview with CNA #2 on 6/12/18 at approximately 10:46 AM confirmed his/her statement and also confirmed that the resident prefers underwear to incontinence briefs. CNA #2 also stated that RN #2's up north tone and demeanor often seemed confrontational. Interview with CNA #1 on 6/12/18 at approximately 10:46 AM confirmed his/her statement. All observations of resident through the days of the survey revealed no concerns. The resident was calm and pleasant during all encounters. There were no signs of anxiety or agitation during any observed interaction. | 2020-09-01 |