cms_SC: 4041
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 4041 |
PRUITTHEALTH-BLYTHEWOOD |
425400 |
1075 HEATHER GREEN DRIVE |
COLUMBIA |
SC |
29229 |
2017-09-15 |
328 |
D |
1 |
1 |
4HVH11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on an observation, interview and review of the facility policy titled, Medication Administration: Enteral Tubes, the facility failed to confirm placement of and flush a [MEDEQUIP] tube for Resident #178 prior to administering a medication via the tube. The facility further failed to ensure the correct tube feeding was infusing as ordered by the physician for Resident #178 for 1 of 1 resident observed with a [MEDEQUIP] tube. The findings included: The facility admitted Resident #178 with [DIAGNOSES REDACTED]. An observation on 9/7/2017 at approximately 11:45 AM, during wound care for Resident #178, Licensed Practical Nurse (LPN) #4 administered a pain medication via a [MEDEQUIP] tube without first checking for placement and flushing the [MEDEQUIP] tube with a physician ordered water flush. During an interview on 9/7/2017 at approximately 11:48 PM with LPN #4 it was verified that placement had not been checked and the water flush was not done for Resident #178 prior to administering a medication via a [MEDEQUIP] tube. Review on 9/7/2017 at approximately 1:48 PM of the facility policy titled, Medication Administration: Enteral Tubes, number 8 states, Enteral tubes will be flushed before administering medications with 15 mls (milliliters) of water, with 5 mls of water after each medication, and 15 mls at completion of the medication administration. Flushes may be changed due to physician's order. Under, Scope: Procedure & Key Points, number 5 states, Verify tube placement using the following procedures: Inject 15 - 20 cc's of air into the tube with the syringe and listen to stomach with stethoscope for distinct whooshing sound. Aspirate stomach contents with syringe. Observations made on all days of the survey revealed Resident #178 with a tube feeding of Glucerna 1.5 at 45 cc's infusing hourly with a water flush of 125 centimeters every 4 hours. Review on 9/8/2017 at approximately 5:28 PM of a physician's order for Resident #178 dated 7/31/2017 states, D/C (discontinue) Juven, Vitamin C, Zinc Sulfate. D/C current tube feeding and flush orders. [ENTITY]t [MEDICATION NAME] 1.5 at 50 cc's per hour x 20 hours and a 100 ml every four hour water flush. The [MEDICATION NAME] was not infusing via the [MEDEQUIP] tube as ordered by the physician. During an interview on 9/8/2017 at approximately 5:47 PM with the DON (Director of Nursing) confirmed that Glucerna was infusing and the physician's order for Resident #178 was changed on 7/31/2017 to [MEDICATION NAME] 1.5 to infuse at 50 cc's per hour. |
2020-09-01 |