cms_SC: 42
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 42 | CHERAW HEALTHCARE | 425005 | 400 MOFFAT ROAD | CHERAW | SC | 29520 | 2018-10-11 | 609 | D | 1 | 1 | KNGB11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and interview the facility failed to report allegations timely to the State Agency for 2 of 2 allegations/incidents reviewed. Resident #42 had an allegation of physical and verbal abuse that was not reported to the state agency within the required timeframes. The facility failed to report an injury of unknown origin with major injury timely for Resident #37. The findings included: The facility admitted Resident #42 with [DIAGNOSES REDACTED]. Observations during the survey revealed that the resident had a sad affect, was confused, answered questions inappropriately or not at all, had perseverating speech, and wandered aimlessly in the hallways. Review of the investigation file on 10/10/18 at 4:04 PM revealed that on 8-14-18, a student in the Certified Nursing Assistant (CNA) training program reported that CNA #1 spoke about Resident #42's roommate and her/his personal information, made comments about the prior shift's lack of care of the resident, and handled Resident #42 roughly when assisting her/him out of bed to the bathroom. Another student's statement dated 8/16/18 indicated that (CNA #1) was forcefully pulling on (Resident #42's) right arm saying you have to go to the bathroom. During a telephone interview on 10/11/18 at 1:55 PM, Registered Nurse (RN) #1 stated a student reported the incident to her/him on the date of occurrence (8/14/18) before s/he left that evening. The RN obtained a written statement from the student. (CNA #2) was with me when we talked to the student and got her (his) statement. The nurse thought s/he put the statement in the Director of Nursing's box outside her/his office because s/he was not going to be at work the following day. S/he thought s/he might have given a copy to the Charge CNA (CNA #2) as well. Further review revealed that the facility did not report the allegation of abuse until the following day (8/15/18). During an interview on 10/11/18 at 12:45 PM, the DON stated s/he was aware of the 2 hour reporting requirements for allegations of abuse. S/he stated that s/he was not made aware of the allegation until 8/15/18. The facility's abuse policies and procedures regarding reporting state: 7. E. Abuse, alleged or otherwise, will be reported within 2 hours or 24 hours. Appropriate agencies will be called . Reporting Requirements noted The facility must ensure that all allegations of abuse, neglect, injuries of unknown source, and misappropriation of resident property are reported immediately to the administrator of the facility, the State Survey Agency, to other officials in accordance with state law . The facility admitted Resdient #37 on 11/04/13 with [DIAGNOSES REDACTED]. On 10/09/18 at 11:27 AM, review of the Reportable for a 09/01/18 incident revealed an Accident/Incident Report indicating the incident occurred at 06:25 AM on 09/01/18. Further review revealed the Initial 2/24-Hour Report dated 09/01/18 indicated it was a 2 hr (hour) initial report. Another Initial 2/24-Hour Report was dated 09/02/18. Review of the radiology report revealed it was faxed to the facility at 9:31 PM on 09/01/18 stating the resident had an incompletely characterized recent right proximal fracture with mild angular deformity and noted that the physician was notified at 11:01 PM. Additional review revealed it was reported to the Bureau of Certification on 09/02/18 at 9:40 AM. On 10/09/18 at 02:01 PM, review of the General Progress Notes revealed a note dated 09/01/18 and timed at 10:42 AM stating the resident had swelling to the right upper arm with bruising noted and the area was warm to touch. The resident was whimpering in pain when the arm was elevated. The physician was notified and orders received for an x-ray and a CBC (complete blood count). The Resident Representative was notified at 10:25 AM. The x-ray was done at 05:00 PM and the resident was started on [MEDICATION NAME] 500 mg (milligrams) for [MEDICAL CONDITION]. During an interview on 10/11/18, the Director of Nursing (DON) confirmed the dates on the Initial 2/24-Hour Report but stated that the x-ray results were received in the nursing office and that s/he was unsure when the nurse obtained the result from the office. The DON also confirmed the notation on the x-ray result indicating the physician was notified of the result at 11:01 PM pn 09/01/18 and that the incident was not reported timely. | 2020-09-01 |