cms_SC: 4932

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
4932	VIBRA HOSPITAL OF CHARLESTON -TCU	425405	1200 HOSPITAL DR 2ND FL	MOUNT PLEASANT	SC	29464	2016-04-28	155	D	0	1	YC7O11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews, and review of the facility policy entitled Advance Directives, the facility failed to incorporate choices regarding advance directives into treatment, care and services for 1 of 1 sampled resident reviewed for choices. Resident #119 had discrepancies in advance directives on the medical record. The findings included: The facility admitted Resident #119 with [DIAGNOSES REDACTED]. Review of the [DATE] admission History and Physical on [DATE] at 3:06 PM revealed that the resident was alert and say he (she) would not want CPR (cardiopulmonary resuscitation). Review of the Admission Body of Orders at 3:20 PM on [DATE] revealed the Code Status: Full Code. A [DATE] 3:10 PM Social Services Interdisciplinary Note reviewed at 4:40 PM stated, The resident is a DNR (Do Not Resuscitate) by his (her) choice. At 4:45 PM, review of the Medication Administration Record [REDACTED]. No Physician's Order could be located to reflect the resident's choice in advance directives. During an interview at 6:09 PM on [DATE], when asked about the code status of Resident #119, Registered Nurse #1 referred to the physician's orders and stated, full code. When the resident's request documented on the History and Physical was brought to her/his attention, s/he confirmed the information and reviewed the record for an updated order. The nurse was unable to locate a physician's order for DNR status. Social Services stated s/he had spoken with the resident and that s/he wanted to be a DNR. S/he had placed the completed form in the physician's box to be signed. The facility policy entitled Advance Directives states: On Admission, the attending Physician will discuss the desired code status with the resident and include this information in his History and Physical. If resident desires to have No CPR, MD will write order for this. During an interview on [DATE], the attending physician stated, I should have written the order.	2019-07-01