cms_SC: 403

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
403 BLUE RIDGE IN GEORGETOWN 425048 2715 SOUTH ISLAND ROAD GEORGETOWN SC 29440 2018-11-17 600 J 1 0 H6ZB11 **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 and neglect. Two certified nursing assistants (CNAs), CNA #2 and #3, left their assigned residents unsupervised for approximately 30 minutes during an evacuation. 2 of 2 CNA's reviewed for assignments. The facility failed to protect residents from sexual abuse. Staff members observed sexually inappropriate behavior in a common area between residents #8 and #14. The facility failed to protect residents from verbal abuse. Resident #1 alleged that CNA #4 told him/her if s/he didn't stop hollering s/he was going to put a bag over his/her head and strangle him/her. 3 of 10 residents sampled for abuse. The findings included: Two certified nursing assistants (CNAs), CNA #2 and #3, left their assigned residents unsupervised for an hour during an evacuation. Review of the facility assignment sheet for 9/11/18 revealed CNA #2 was assigned 12 residents and CNA #3 was assigned 10 residents. Review of the facility investigation on 11/3/18 at approximately 9:50 AM revealed that CNA #2 and #3 left their assigned residents without permission on 9/11/18 at approximately 10 AM. During an interview with the Director of Nursing (DON) and Chief Operations Officer (COO) on 11/3/18 at approximately 11 AM. The DON and COO stated that CNA #2 and #3 left the facility without reporting to supervisors. Review of 9/11/18 time card reports on 11/3/18 at approximately 11:38 AM revealed CNA #2 clocked out at 10:05 AM and CNA #3 clocked out at 9:50 AM. During an interview with the DON on 11/16/18 at approximately 1:20 pm. The DON stated that the resident assignments were redone within 30 minutes of CNA #2 and #3 leaving. During an interview with the Human Resources Director on 11/3/18 at approximately 11:51 AM. The Human Resources Director confirmed interviews with the DON and COO and stated that resident care was affected because the facility was short-staffed during the evacuation. During an interview with CNA #2 on 11/3/18 at approximately 3:15 PM revealed both CNAs left the facility without arranging for care for residents. CNA #2 stated that s/he did not know who would look after the residents after s/he left. On 7/11/18 staff members observed sexually inappropriate behavior in a common area between residents #8 and #14. Resident #8 was observed to be holding resident #14's penis. Resident #14 had a history of [REDACTED]. The facility admitted resident #8 on 7/20/17 with [DIAGNOSES REDACTED]. Review of Resident #8's medical record revealed Nurse's Notes dated 7/11/18. The Nursed Note revealed Resident noted to be standing in front of resident (#14) holding resident's penis in her/his hand. Resident #14 was sitting in rollator walker. Floor nurse separated the two immediately. Resident's family and physician notified. Review of Resident #8's medical record revealed a Significant Change assessment dated [DATE]. The Significant Change Assessment revealed Long and short term memory impairment. Seldom understood or understands. Never rarely makes decisions. Wanders daily throughout facility. No sexual behaviors were listed for the Significant Change. During an interview with the Unit Manager on 11/16/18 at 12:05PM. The Unit Manager stated that Resident #8 initiated the incident on 7/11/18. The Unit Manager stated that Resident #8 likes to touch and rub on people. The facility admitted Resident #14 on 9/11/17 with [DIAGNOSES REDACTED]. Review of the Resident #14's medical record revealed in (MONTH) of (YEAR), the resident displayed inappropriate sexual behavior of touching a resident's breast. Resident #14's medical record revealed that throughout Resident #14's stay the resident demonstrated inappropriate sexual behaviors of exposing him/herself in public areas. Review of Resident #14's Nurses Notes from (MONTH) 1, (YEAR) through 11/16/18 revealed that Resident #14 noted to be alert and able to make needs known with some confusion noted. The Nurses Notes also revealed that Resident #14 continually takes pull ups off and refuses to wear pull ups or any underwear at times. Review of the Resident #14's Plan of Care dated 9/26/17 revealed, Inappropriate sexual behaviors, such as exposing self in common areas of facility, attempting inappropriate behaviors with female residents, inappropriate comments also noted and can be difficult to redirect. Review of Resident #14's medical record revealed a Psychiatric evaluation dated 9/26/17. BIMS (Brief Interview for Mental Status) - 6 (6 of 15). Due to Dementia, s/he is unable to provide reliable review of systems. S/he has behavioral episodes of resistance to care and unwillingness to participate in PT (Physical Therapy) program. Patient also has been observed with sexually inappropriate behaviors and poor boundaries. Has exposed self inappropriately and touched resident's breast. S/He has poor insight and memory regarding behaviors. During an interview with Licensed Practical Nurse (LPN) #2 on 11/16/18 at approximately 11:45 AM. LPN #2 stated that when Resident #14 first came to the facility the resident would make sexual remarks. LPN #2 also stated that Resident #14 liked for the CNAs to wash him/her. During an interview with the Unit Manager on 11/16/18 at 12:05PM. The Unit Manager stated that when Resident #14 first came to the facility s/he did not wear underwear, and his/her penis would fall out of his/her pants. Resident #1 alleged that CNA #4 told him/her if s/he didn't stop hollering s/he was going to put a bag over his/her head and strangle him/her. Review of the facility investigation on 11/3/18 at approximately 3:10 PM revealed that on 4/4/18 Resident #1 alleged that CNA #4 told him/her if s/he didn't stop hollering s/he was going to put a bag over his/her head and strangle him/her. Resident #1's roommate confirmed the CNA stating this. The facility investigation revealed that the facility substantiated the allegation and CNA #4 was terminated. During an interview with Resident #1's roommate on 11/3/18 at approximately 4:11 PM. Resident #1's roommate confirmed his/her statement that CNA #4 said s/he would put a bag over Resident #1's head who then started cursing him/her out. During an interview with CNA #4 on 11/4/18 at approximately 11:20 AM. CNA #4 stated that after s/he changed Resident #1 the Resident began cursing at him/her so s/he left and had another CNA care for the resident. CNA #4 denied stating s/he would put a bag over the resident's head. 2020-09-01