cms_SC: 518

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
518 MUSC HEALTH CHESTER NURSING CENTER 425061 1 MEDICAL PARK DRIVE CHESTER SC 29706 2018-06-27 580 D 0 1 11DB11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interviews, the facility failed to ensure that the physician was notified as ordered when Resident #36's finger stick blood sugars went above 400 for 1 of 3 sampled residents reviewed for hospitalization s. Resident #36 had finger stick blood sugars above 400 on 5/28/18 and 6/02/18 with no physician notification as ordered. The findings included: The facility admitted Resident #36 on 5/02/18 with [DIAGNOSES REDACTED]. A review of the medical record on 6/26/18 at approximately 12:20 PM revealed a physician's orders [REDACTED].=2 units, 201-250=4 units, 251-300=6 units, 301-350=8 units, 351-400=10 units, above 400=12 units and call medical doctor. Further review of the medical record revealed a nurse's note dated 5/28/18 that indicated resident had a FSBS of 438 at 16:30 (4:30 PM) with insulin given and rechecked in 30 minutes. There was no documentation to indicate the physician had been called/notified as ordered. A nurses noted dated 6/02/18 indicated the resident had a FSBS of 452 at 11:30 (11:30 AM) with 12 units of insulin given per physician orders. There was no documentation to indicate the physician had been called/notified as ordered. An interview on 6/26/18 at approximately 2:50 PM with Licensed Practical Nurse (LPN) #1 revealed the electronic medical record and 24 hour reporting and confirmed the findings that the physician was not notified of the FSBS over 400 as ordered. An interview on 6/27/18 at approximately 10:17 AM with the Director of Nursing (DON) reviewed the electronic record and confirmed there was no documentation to indicate the physician was notified of the FSBS over 400 on 5/28/18 and 6/02/18. 2020-09-01