cms_SC: 43
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 43 | CHERAW HEALTHCARE | 425005 | 400 MOFFAT ROAD | CHERAW | SC | 29520 | 2018-10-11 | 610 | E | 1 | 1 | KNGB11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > 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 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 CNA #1 was suspended during the investigation. Review of the assignment sheet for 8/14/18, obtained from the Director of Nursing (DON), revealed that there were written statements obtained from the RN Supervisor, and 4 of the 5 CNAs on duty on the 100 Hall, including the alleged perpetrator. There were no statements from the two nurses on duty on the 100 Hall. All statements were either unwitnessed or witnessed by one individual. During an interview on 10/11/18 at 12:45 PM, when asked to describe a thorough investigation, the DON stated, You should talk to the resident, nurses, CNAs on the unit, visitors, and other people on duty at the time. The facility's abuse policies and procedures regarding investigation state: D. 7. Develop a list of known and possible witnesses to the reportable incident. Interview staff, residents and/or visitors, or anyone who has or might have knowledge of the incident under investigation . 9. Obtain written signed, double witnessed or notarized statements from the reporter and all other identified witnesses . Statements taken from actual eyewitnesses should .contain the witness's name, address, and phone number. Based on record review and interview, the facility failed to thoroughly investigate an injury of unknown origin for Resident #37 and an allegation of abuse for Resident #42, 2 of 4 residents reviewed for reportable incidents. The findings included: 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 07/14/18 incident revealed Resident #37 experienced a fall and sustained a Left Femoral Neck Fracture on 07/14/18. Further review revealed the resident was receiving a bath by the CNA (Certified Nursing Assistant) and when the CNA turned the resident on her/his side to wash the back, the resident slid out of bed to the floor on her/his knees. The Accident/Incident Report stated the CNA reported that s/he lost control of the resident and the resident slid to the floor. A statement was obtained from the CNA that was giving Resident #37 a bath but no other statements were obtained from any other staff on duty at the time. In addition, Resident #37 also sustained an incompletely characterized recent right proximal fracture with mild angular deformity on 09/01/18. Review of the reportable file revealed employee statements from the nurse on all 3 shifts on 08/31/18 and day shift on 09/01/18. Statements were also obtained from the CNA assigned to Mrs.[NAME]on the 3:00-11:00 PM and 11:00 PM-7:00 AM shift on 08/31/18 and the day and evening shift on 09/01/18. No statements were obtained from any other staff assigned to the unit during the 2 days. During an interview on 10/11/18 at 02:33 PM, the Director of Nursing (DON) stated Resident #37 did have side rails ordered at the time of the fall on 07/14/18. The DON confirmed there was no mention in the CNA's statement if the side rail was up and that s/he could not say for sure. The DON confirmed there was no documentation of an investigation and asked the Assistant Director of Nursing (ADON) if the side rail had been up when the resident fell . The ADON stated s/he did not recall asking and also confirmed the statement did not say if the side rails were in use. Both the DON and the ADON confirmed no statements had been obtained from any staff that had not been assigned to Resident #37 related to the 09/01/18 fracture and that a thorough investigation had not been done to rule out possible abuse. | 2020-09-01 |