cms_SC: 288

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
288 MAGNOLIA MANOR - INMAN 425032 63 BLACKSTOCK ROAD INMAN SC 29349 2018-12-20 867 D 0 1 0G2K11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to review and/or revise an ineffective Quality Assurance(QA) plan related to baseline care plans for 1 of 3 QA plans reviewed. The findings included: On 12/17/18 at 02:05 PM, the survey team was informed that a PIP (Performance Improvement Plan) had been initiated in October, (YEAR) related to baseline care plans. Review of the provided PIP revealed the PIP had a completion date of 11/27/18. On 12/17/18 at 02:05 PM, review of the baseline care plan dated 11/21/18 for Resident #148 revealed no documentation that a copy of the care plan or a reconciled list of medications was provided to the resident or resident representative. Further review revealed the resident received both Physical and Occupational Therapy which was not included on the baseline care plan. Review of the Social Service Notes indicated the resident was admitted for short term but was not indicated on the baseline care plan which also did not include any discharge plan and/or goals. Continued review revealed an order dated 11/23/18 for [MEDICATION NAME] and the baseline care plan was not updated to include the medication or risks. Record review on 12/16/18 at approximately 03:35 PM revealed Resident #267 was admitted [DATE] with an order for [REDACTED]. Review of the policy entitled Leadership Policies and Procedures, Quality Assurance and Performance Improvement Program Committee Guidelines revealed The QAA (Quality Assessment and Assurance) Committee plan is a living document that will be reviewed and/or revised by the Facility to assure that quality care, safety and quality life practices are provided. During an interview on 12/20/18 at 02:14 PM, the Director of Nursing (DON) and Nursing Home Administrator confirmed the findings as documented above and confirmed the Performance Improvement Plan related to baseline care plans had not been revised. When informed that the care plan was to be updated with changes from admission to the time the comprehensive care plan was completed, the DON stated we've got a lot of work to do. We need to revamp it. 2020-09-01