cms_SC: 5397

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
5397 MYRTLE BEACH MANOR 425070 9547 HIGHWAY 17, NORTH MYRTLE BEACH SC 29572 2015-05-21 280 D 0 1 PCKJ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interviews and fact sheet titled, [DIAGNOSES REDACTED], the facility failed to review and revise the Comprehensive Plan of Care for physician ordered interventions to reduce and or prevent falls for 1 of 3 residents reviewed for accidents. (Resident #94) The findings included: The facility admitted Resident #94 with [DIAGNOSES REDACTED]. Review on 5/21/2015 at approximately 9:52 AM of incident reports for Resident #94 revealed multiple falls. Resident #94 fell from bed onto fall mats on 2/9/2015 at 9:00 AM, with no injury. He/she fell from a wheel chair and sustained a laceration to his/her left eyebrow on 3/2/2015 and was sent to the emergency department. He/she fell with speech therapy on 4/22/15. Resident #94 fell again on 4/22/2015 and sustained a laceration to the right side of his/her head and lip. He/she was sent to the emergency room and returned later with sutures to both head and lip. He/she fell on [DATE] and sustained a small open area to left jaw and was bleeding from his/her mouth. Again on 5/17/2015 he/she fell from the bed onto the fall mat and sustained no injury. Review on 5/21/2015 at approximately 9:52 AM of a fact sheet from the National Institute of Neurological Disorders and Stroke, titled, [DIAGNOSES REDACTED] under, What is [DIAGNOSES REDACTED]?, states, [DIAGNOSES REDACTED] (PSP) is a rare brain disorder that causes serious and progressive problems with control of gait and balance, along with complex eye movement and thinking problems. This disorder begins slowly and continues to get progressively worse, and causes weakness by damaging certain parts of the brain. Under a section titled,What are the symptoms?, states, the most frequent first symptom of PSP is a loss of balance while walking. Individuals have unexplained falls or a stiffness and awkwardness in gait. Sometimes the falls are described by the person experiencing them as attacks of dizziness. Review on 5/21/2015 at approximately 10:05 AM of the Comprehensive Plan of Care for Resident #94 revealed a problem which states.At risk for falls related to history of falls, palsy, restless leg and arm movements. The goal states, .will remain free of injury related to falls through review date of 8/12/2015. Review of the approaches/interventions included, Anticipate needs and meet as able. Also, evaluate for adaptive device as needed on a continued basis. Low bed, fall mats at bedside. Another intervention stated, Gather information on past falls and attempt to determine cause of falls. And an intervention which states, anticipate and intervene to prevent injury/future falls. Instruct in use of call light for assistance and respond to call light promptly. Provide transfer assistance as needed. Physical therapy/Occupational therapy and treatment as needed. No other specific interventions were included on the care plan to decrease falls and/or prevent falls. Review on 5/21/2015 at approximately 12:09 PM of a physician order [REDACTED]. No mention of the bed and chair alarms was included on resident #94's plan of care. During an interview on 5/21/2015 at approximately 4:00 PM with the Care Plan Coordinator he/she verified that the interventions were in place. He/she and I went into Resident #94's room and checked the alarms for placement and the functioning of the alarms. The care plan coordinator confirmed at that time that the interventions had not been added to the Comprehensive Plan of Care for resident #94. 2018-12-01