cms_SC: 5026

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
5026 ROLLING GREEN VILLAGE 425160 1 HOKE SMITH BOULEVARD GREENVILLE SC 29615 2016-04-28 309 D 0 1 9D8Q11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview the facility failed to administer medication as ordered for Resident #164, 1 of 5 residents reviewed for unnecessary medications. Resident #164 received 6 days of a medication that was ordered to be given for 7 days. In addition, the facility failed to communicate changes in status to Hospice and failed to administer treatments as ordered for Resident #3, 1 of 3 residents reviewed for pressure ulcers. The findings included: The facility admitted Resident #164 with [DIAGNOSES REDACTED]. At 10:45 AM on 04/28/2016, review of the Medication Administration Record [REDACTED]. Review of the MAR indicated [REDACTED]. The documentation indicated the medication was not available on 4/8/16. On 04/28/2016 at 3:07 PM, the Director of Nursing confirmed the resident only received 6 days of the [MEDICATION NAME] nebulizer treatment, not 7 as ordered. The facility admitted Resident #3 with [DIAGNOSES REDACTED]. At 8:46 AM on 04/27/2016, review of the Physician order [REDACTED]. At 4:15 PM on 4/27/16, review of the Treatment Administration Record revealed one dose of [MEDICATION NAME] was not administered. Further review revealed the treatment was changed 3/20/16 when the [MEDICATION NAME] was supposed to be completed but no treatment was administered on 3/20/16. During an interview at 8:54 AM on 04/28/2016, the Director of Nursing (DON) confirmed one treatment with the [MEDICATION NAME] was not administered. At 9:12 AM on 4/28/16, the DON also confirmed there was no treatment done on 3/20/16. At 8:49 AM on 04/27/2016, review of the Wound Reviews revealed the resident had a Stage III pressure ulcer to the coccyx. The date of onset was noted as (MONTH) 29, (YEAR) as a Stage III measuring 7.0 x 5.5 cm with no depth. At 9:12 AM on 04/27/2016, review of the Clinical Notes revealed Body Audits dated 1/23, 1/25, 1/31, 2/8, 2/13 (pink heels and buttocks, on air mattress, treatment started with [MEDICATION NAME]), and 3/3/16. No documented skin audits were found between 2/13 and 3/3/16. During an interview at 3:48 PM on 04/27/2016, the MDS (Minimal Data Set) Coordinator/ Wound Nurse/ QA (Quality Assurance) confirmed the date of onset of the sacral wound was 2/29/16. S/he also confirmed no body audits were documented after 2/13 until the Pressure ulcer was discovered on 2/29/16 at Stage III. At 9:12 AM on 04/27/2016, review of the Clinical Notes revealed episodes of vomiting, multiple refusals of supplements and medications documented beginning 3/4/16. There was no documentation that the physician or Hospice were notified until 3/13/16. At 9:12 AM on 4/28/16, the DON provided documentation that the hospice nurse visited the resident on 3/9/16, 3/10/16 and 3/13/16. There was no documentation in the hospice notes that the hospice nurse was notified of the episodes of vomiting or refusals of supplements and medications until 3/13/16. The documentation provided stated no new concerns were voiced on 3/9/16. The DON reviewed the notes with the surveyor and confirmed that the hospice nurse was communicating with the nurse but it looks like they weren't discussing what was going on with the resident. 2019-06-01