cms_SC: 502

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
502 MUSC HEALTH CHESTER NURSING CENTER 425061 1 MEDICAL PARK DRIVE CHESTER SC 29706 2017-02-23 280 D 0 1 4GPQ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, observation and interview, the facility failed to revise the Care Plan for the nutritional status for 1 of 31 sampled Residents (R37) and for activities for 1 of 31 sampled Residents (R75). Findings include: 1. A review of facility weights for R37 revealed the Resident weighed 177 pounds (lbs.) on 2/15/17, and on 11/10/16 weighed 200 lbs. The weights indicated a 13% weigh loss. A review of the care plan for R37 revealed a concern indicating R37 has potential nutritional problem r/t (due to) [MEDICAL CONDITION], poor dentition diabetes. The care plan was last revised on 8/16/16 for weight gain. Further review of the care plan revealed no evidence the care plan was revised after R37 experienced unexpected weight loss from 11/6/16 through 2/23/17. During an interview with the facility Registered Dietician, on 2/21/17 at 4:25 p.m., she stated R37 should have been put on Nutritional Alert in (MONTH) (YEAR), and her care plan revised for the unexpected weight loss. She further stated neither was done. 2. Record review of R75 behavior care plan indicated The resident has behavior problem shouting out, combative, grabbing, slapping, cursing, pulling clothes off, hitting staff with fists related to dementia. The interventions included: Administer medications as ordered. Monitor / document for side effects and effectiveness. Anticipate and meet the resident needs. Explain all procedures to the resident before starting and allow the resident a few minutes to adjust to the changes. Intervene as necessary to protect the rights and safety of others. Approach and speak in a calm manner. Divert attention. Remove from situation and take to alternate location as needed. Praise any indication of the resident's progress/improvement in behavior. Observations on 2/20/17 revealed no activities for R75. During an interview with the Activity Therapist on 2/22/17 at 4:57 p.m., she stated, I know (R75) didn't come to many activities. (R75) is up cussing by the nursing station, because she can't stay down here with us. What does she do? Tell you off as you walk by . The Activity Therapist confirmed that no revisions were made to the behavior care plan to include diversional activities that were individualized and person centered. 2020-09-01