cms_SC: 44

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.

Data source: Big Local News · About: big-local-datasette

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
44	CHERAW HEALTHCARE	425005	400 MOFFAT ROAD	CHERAW	SC	29520	2018-10-11	623	E	0	1	KNGB11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to provide the required written notice of transfer to the resident/ resident representative for Resident #22, #19, # 57, #47 and #100 as soon as practicable of a facility initiated transfer. 5 of 5 reviewed for transfer to the hospital. The findings included: The facility admitted Resident #22 on 7/12/2018 with dignoses including, but not limited to, Muscle weakness, Acute and Chronic [MEDICAL CONDITION], unspecified with [MEDICAL CONDITION] or hypercapnia, Athscl [MEDICAL CONDITION] of native coronary artery without [MEDICAL CONDITION] pectoris, Heart Failure, [MEDICAL CONDITION] (chronic) (peripheral), Essential Hypertension, [MEDICAL CONDITION], Type II Diabetes Mellitus, Spinal Stenosis-lumbar region without [MEDICAL CONDITION] claudication, allergic rhinitis, [MEDICAL CONDITION] Stage 3, [MEDICAL CONDITION] disease, [MEDICAL CONDITION], Major [MEDICAL CONDITION], unspecified [MEDICAL CONDITION], unspecified hearing loss, nausea with vomiting, unspecified Dementia without behavioral disturbance, pressure ulcer right and left heel unstageable. Review of the medical record revealed that Resident #22 was transferred to the hospital on [DATE], 07/27/2018 and 08/22/2018, all were facility initiated with no documentation that written notice was provided to the resident and Resident Represenative (RR) of the transfer. During an interview on 10/09/2018 at approximately 12:30 PM, the Social Worker confirmed that the facility had not been providing written notification to the resident/ RR for hospital transfers. The facility admitted Resident #57 with [DIAGNOSES REDACTED]. Record review on 10/09/18 at 11:59 AM revealed that the resident had multiple recent hospitalization s: (1) From 7/26/18 to 7/30/18 for Acute Hypoxic [MEDICAL CONDITION] and Exacerbation of [MEDICAL CONDITION], (2) From 8/14/18 to 8/17/18 for Shortness of Breath, Oxygen Saturation of 64% [MEDICAL CONDITION] Facial and Bilateral Lower Extremity [MEDICAL CONDITION], and [MEDICATION NAME]. (3) From 8/28/18 to 8/29/18 for Acute Hypoxic [MEDICAL CONDITIONS], Hypertensive Emergency, [MEDICAL CONDITIONS], Mitral Stenosis, and [MEDICAL CONDITION] Fibrillation. (4) From 9/11/18 to 9/12/18 for Acute Hypoxic [MEDICAL CONDITIONS], Hypertensive Emergency, [MEDICAL CONDITIONS], Mitral Stenosis, and [MEDICAL CONDITION] Fibrillation. (5) From 10/2/18 to 10/4/18 for Acute Hypoxic [MEDICAL CONDITIONS], Malignant Hypertension, Fluid Overload, and [MEDICAL CONDITION]. There was no evidence in the medical record of written notices to the resident's representative of the facility-initiated hospital transfers, including the reasons for the moves. The facility admitted Resident #100 with [DIAGNOSES REDACTED]. Review of Progress Notes on 10/10/18 at 8:40 AM revealed that the resident complained of hip pain after sustaining a fall on 6/14/18. Radiology reports showed no acute fractures at that time. The resident continued to complain of hip pain, and after an orthopedic consult, the facility was notified on 7/18/18 to send Resident #100 to the hospital for direct admission for treatment for [REDACTED]. There was no evidence in the medical record of written notices to the resident's representative of the facility-initiated hospital transfers, including the reasons for the moves. The facility admitted Resident #19 on 06/02/17 with [DIAGNOSES REDACTED]. On 10/08/18 at 03:01 PM, record review revealed the resident was hospitalized from [DATE] to 06/01/18 and from 06/22/18 to 6/29/18. Review of the general progress notes revealed no documentation that the facility provided a written notice of transfer to the resident or the resident representative. The facility admitted Resident #47 on 02/09/15 with [DIAGNOSES REDACTED]. On 10/08/18 at 01:13 PM, record review revealed the resident was hospitalized from [DATE] to 09/21/18. Review of the General Progress Notes on 10/10/18 revealed no documentation that the facility provided a written notice of transfer to the resident or the resident representative. During an interview on 10/10/18 04:09 PM, the Social Services Director confirmed the facility had not been providing written notices of transfer to the resident or resident representative when a resident was transferred to the hospital.	2020-09-01