cms_SC: 4167

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
4167 BISHOP GADSDEN EPISCOPAL HEALTH CARE CENTER 425411 1 BISHOP GADSDEN WAY CHARLESTON SC 29412 2019-01-31 758 E 0 1 S24T11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to provide a determined timeframe for administration of a PRN (as needed) [MEDICAL CONDITION] medication and not attempting nonpharmacological interventions prior to administration of a PRN [MEDICAL CONDITION] for Resident #24 (1 of 4 sampled residents reviewed for unnecessary medications). The findings included: The facility admitted Resident #24 with [DIAGNOSES REDACTED]. Record review on 01/29/19 at approximately 2:24 PM revealed a physician's orders [REDACTED]. Further review of the medical record revealed a pharmacist consultation report dated 10/31/18 stating, per new regulations the order should have a 14-day stop date included and if still indicated, the provider will need to re-evaluate and document continued need every 2 weeks. The doctor's response, dated 11/07/18, stated not to stop yet. Review of the Medication Administration Records (MARs) for Resident #24 revealed the medication was administered on 09/30/18; 10/1, 7, 17,18, 21-23, 25-27, 30-31 (YEAR); 11/2, 5, 9-11, 14-18, 20, 23-26, 28-30 (YEAR); 12/1, 3, 5-7, 9, 11, 13, 16, 17, 19 (YEAR); and 01/6, 15, 18-20, 22, 23, 25-27 2019. No documentation of nonpharmacological interventions attempted prior to administration were found in the medical record. In an interview on 01/31/19 at approximately 1:45 PM, Licensed Practical Nurse #1 confirmed that the PRN order did not have an end date as required and also that nonpharmacological measures should have been attempted prior to administration of the PRN [MEDICAL CONDITION]. 2020-09-01