cms_SC: 5329

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.

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
5329 CARLYLE SENIOR CARE OF FLORENCE 425163 133 WEST CLARKE ROAD FLORENCE SC 29501 2015-09-18 441 D 0 1 028R11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, observations and review of information from the customer care representative and review of the facility policy Dressing Change the facility failed to maintain an infection control program designed to provide a safe, sanitary, and comfortable environment and to prevent the development and transmission of disease and infection. Prior to pressure ulcer care for Resident #25, staff was observed to place 4 x 4's directly on top of the treatment cart and to use Normal Saline which was dated but not timed when opened. After perineal care, Resident #43's boot was noted in the soiled trash bag when repositioned. (1 of 3 pressure ulcers reviewed and 1 of 2 urinary incontinence reviewed) The findings included: The facility admitted Resident #25 with [DIAGNOSES REDACTED]. During observation on 9/17/15 at 9:19 AM of the set up for pressure ulcer treatment for [REDACTED].#1 was observed to open a bottle of normal saline dated 9/16/15 and pour on 4 x 4's which were placed in a cup. RN #1 opened two more bottles of normal saline and poured the normal saline into two more cups containing 4 x 4's. At the time of set-up, RN #1 was asked how long the normal saline was good for once opened. RN #1 stated the normal saline was good for twenty four hours. When asked was there a time on the first bottle used, she stated there was no time documented on the bottle but it was dated 9/16/15. When asked how do we know it had not gone over the 24 hours since there was no time documented, he/she responded stating he/she thought the bottle had been opened around noon the day before. RN #1 was asked if the first cup containing the 4x 4 's was going to be used for the procedure and he/she stated yes. After questioning RN #1, about the first 4 x 4's prepared, he/she discarded the first cup of soaked normal saline 4 x 4's and replaced the cup and normal saline soaked 4 x 4's. Further observation revealed more gauze was obtained and placed directly on top of the treatment cart, collagen was placed on the gauze and opened packages of ABD pads were placed underneath the gauze. On 9/17/15 at 5:14 PM, the set up for pressure sore treatment was shared with RN #1. Review of information related to the normal saline from the Customer Care Representative dated 9/17/15 revealed the normal saline product is safe to use up to 24 hours after being opened. Review of the facility policy titled Dressing Change revealed under #1 and #2 the following:1. Gather all materials . and 2. Set up materials on over bed table-a. Clean table then place clean towel on table-set up supplies. The facility admitted Resident #43 with [DIAGNOSES REDACTED]. On 9/17/15 at approximately 3:13 PM, after perineal care had been provided, Certified Nursing Assistant(CNA)#1 turned the resident to his/her back and the resident's boot went into the trash bag on the bed which contained soiled items that had been used during perineal care. The resident's boot was not changed at the time of the observation. 2019-01-01