cms_SC: 4742

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
4742 MUSC HEALTH CHESTER NURSING CENTER 425061 1 MEDICAL PARK DRIVE CHESTER SC 29706 2016-05-11 280 D 0 1 1UJ011 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interviews, the facility failed to update the care plan after initiation of antipsychotic medication for resident #6. 1 of 5 residents reviewed for unnecessary medications. The findings included: Resident #6 with [DIAGNOSES REDACTED]. Record review of the physicians orders on 05/10/2016 revealed focus areas including anxiety disorder, physical behavior symptoms and agitation. The care plan also included focus areas related to antidepressant medication use and antianxiety medication use. The care plan was not revised to show that antipsychotic medication was initiated for the resident. Record review of the Minimum Data Set (MDS) 3.0 on 05/10/2016 revealed that the resident had a BIMS (Brief Interview for Mental Status) score of 2, indicating severe cognitive impairment. During an interview with the Director of Nursing (DON) and Registered Nurse (RN) #1 on 05/11/2016 the DON and RN # 1 confirmed that the resident was started on [MEDICATION NAME] on 2/3/2016. In addition the DON and RN #1 confirmed that the residents care plan had not been revised to include antipsychotic medication use. 2019-08-01