cms_SC: 4554
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4554 | OAKBROOK HEALTH AND REHABILITATION CENTER | 425156 | 920 TRAVELERS BOULEVARD | SUMMERVILLE | SC | 29485 | 2016-09-09 | 155 | D | 0 | 1 | 706J11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview, and review of the Adult Care Consent Act, Section [DATE] of the South [NAME]ina Code of Laws, the facility failed to afford 2 of 25 residents the opportunity to formulate their own Advance Directives. (Resident #59 and Resident #113.) The findings included: The facility admitted Resident #113 with [DIAGNOSES REDACTED]. Review of the medical record revealed an Advance Directives Notification & Work Sheet signed by the resident's family member indicating the resident's code status was Do Not Resuscitate. The Physician Certification of Inability to Consent form was signed by the resident's physician and indicated the resident was unable to make his/her own healthcare decisions. Further review of this form indicated a second physician did not sign the form indicating the resident lacked the ability to make his/her own healthcare decisions until more than one month after the resident expired. During an interview on [DATE] at approximately 11:30 AM, the facility's Social Worker stated that the medical director first signs the Physician Certification of Inability to Consent forms. The Social Worker stated that he/she reviews the forms for those needing a second physician's signature. The Social Worker stated that this form was overlooked. Review of the Adult Health Care Consent Act, Section [DATE] of the South [NAME]ina Code of Laws, indicates: (8) 'Unable to consent' means unable to appreciate the nature and implications of the patient's condition and proposed health care, to make a reasoned decision concerning the proposed health care, or to communicate that decision in an unambiguous manner .A patient's inability to consent must be certified by two licensed physicians, each of whom has examined the patient . Resident #59 was admitted on [DATE] with a [DIAGNOSES REDACTED]. (The Advance Directives Notification & Worksheet) states Full Code and was signed by Easther Billy(NAME)( the residents niece) on [DATE] although the (Physicians Certification Of Inability to Consent) form states Resident able to make healthcare decisions. During an interview with the Social Worker on [DATE] at 1:10 PM, when asked if s/he could find paperwork where two doctors deemed the resident as unable to make her/his own healthcare decisions the Social Worker stated there is no documentation deeming Resident #59 as not capable of making her/his own decisions. The Social Worker stated, The resident was drowsy from the hospital and was unable to sign on [DATE] so his/her niece signed his/her advance directives. | 2019-11-01 |