cms_SC: 3269

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.

Data source: Big Local News · About: big-local-datasette

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
3269 HALLMARK HEALTHCARE CENTER 425326 255 MIDLAND PARKWAY SUMMERVILLE SC 29485 2018-08-21 839 D 1 0 CMHW11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interviews and facility files, the facility failed to prevent an unqualified staff member from providing phlebotomy services for 1 of 1 residents reviewed for blood draw. Resident #3 had blood drawn from a Certified Nursing Assistant (CNA). The findings included: In response to an initial reportable incident received in this office an investigation was conducted at the facility. Per the facility report, a Registered Nurse (RN) allowed a Certified Nursing Assistant to draw blood on a resident, resident #3. The facility investigation included statements given by the RN and the CNA. Both the RN and CNA confirmed the CNA had drawn blood on the resident. The CNA said s/he was a phlebotomist at the hospital. The RN stated s/he was not aware the CNA could not draw blood in the long term care setting. The RN and the CNA were placed on suspension pending the investigation. On [DATE] at 1:09 PM, the surveyor interviewed the Director of Nursing (DON). A nurse called me yesterday and asked me to look into it. S/he said s/he was told that a CNA had drawn labs on a resident. The CNA works part time and draws labs at the hospital. The nurse knew s/he was a phlebotomist at the hospital. The nurse was here yesterday that had worked the weekend. I asked her/him about labs being drawn on the weekend. I asked if s/he had drawn labs. The RN stated s/he had drawn the labs but the CNA was right there with her/him. I told the nurse I had already talked to the CNA. S/he then retracted it, and said the CNA drew the labs but the RN was right there. S/he said it was only the one resident. I asked where s/he was at the time and s/he said s/he was at the door within direct sight of the CNA. I told the nurse and the CNA that a CNA could not draw blood here at the facility, it was beyond their scope of practice. The DON had not seen a certification on phlebotomy for the CNA. At 2:40 PM the CNA was interviewed per phone by the surveyor. I am a PCT (Patient Care Technician) as well as a CNA. In [STATE] I can do lab draws. I have a certification as a PCT. I only work part time and come in to give a hand. I went to the unit and asked if they needed any help. The nurse said s/he needed a lab draw done. So I did it. I have advanced skills of phlebotomy and a few other things. After speaking with the DON, I know that my PCT does not cover in a nursing home. On [DATE] the RN was interviewed via phone by the surveyor. The CNA came in and asked me if I had any labs. I had one. I didn't know that it was against regulations. I worked several places that it was alright. S/he told me s/he was certified. We have talked about her/him certification before. I strongly regret it, I didn't know. I do know s/he has drawn blood before. The facility admitted resident #3 on [DATE] with [DIAGNOSES REDACTED]. Review of the medical record revealed the resident was alert and oriented. S/he had a Brief Interview for Mental Status (BI[CONDITION]) score of 14 out of 15. Review of the medical record revealed a physician's orders [REDACTED]. On [DATE] at 3:20 PM the resident was observed lying in bed with head of bed elevated. Resident clean and well groomed, smiling. Alert, oriented and verbally responsive. Resident interviewed regarding blood draw and care provided. Yes, I had my blood taken this weekend. It came back great, I am happy to say. No there was no problem getting my blood. S/he got it right off, nothing unusual about it. The CNA provided a copy of her certificate from the technical college. The certificate was for the completion of Patient Care Technician, dated February 27, 2014. The certificate also stated, Advanced Skills: Basic EKG, Basic Phlebotomy and CPR-112 hours-11.20 CEUs No harm resulted to the resident. 2020-09-01