cms_SC: 54
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 54 | HEARTLAND OF COLUMBIA REHAB AND NURSING CENTER | 425008 | 2601 FOREST DRIVE | COLUMBIA | SC | 29204 | 2017-02-23 | 272 | C | 0 | 1 | 999W11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on staff interview and record review it was determined the facility failed to accurately assess a terminal prognosis for three (#s 45, 1 & 127) of three residents reviewed for hospice of the eight residents in the facility identified as receiving hospice services. Findings include: RESIDENT #45 The medical record for Resident #45 was reviewed on 02/21/17 at 1:29 p.m. The resident's care plan identified the resident received hospice care due to a terminal illness. A Hospice Certification and Plan of Treatment revealed the resident admitted to hospice on 11/01/16 due to a [DIAGNOSES REDACTED]. It was signed by a physician. The Minimum Data Set assessments, dated 01/05/17 and 11/04/16, were reviewed on 02/21/17 at 2:43 p.m. The assessments identified Resident #45 received hospice services while a resident at the facility (Section O0100k). These MDS assessments also indicated, in Section J1400, that the resident did not have a condition or chronic disease that may result in a life expectancy of less than six months. In an interview on 02/21/17 at 3:42 p.m., the Resident Assessment Coordinator, Registered Nurse #9, explained, according to the RAI (Resident Assessment Instrument) Manual, I have to have physician's documentation to support a terminal illness and I must not have (had it). When the Certification and Plan of Treatments were reviewed with the Resident Assessment Coordinator, Registered Nurse #9, she stated she did not know when those were put in the chart. The RAI manual's instructions, that read Under the hospice program benefit regulations, a physician is required to document in the medical record a life expectancy of less than 6 months, so if a resident is on hospice the expectation is that the documentation is in the medical record, were reviewed and the Resident Assessment Coordinator, Registered Nurse #9, verified the assessments were not completed accurately. RESIDENT #1 The medical record for Resident #1 was reviewed on 02/21/17 at 12:42 p.m. A Hospice Certification and Plan of Treatment indicated hospice was initiated 10/27/16 for [MEDICAL CONDITION]. The Minimum Data Set assessments, dated 11/05/16 and 02/05/17, were reviewed on 02/21/17 at 12:55 p.m. They identified the resident received hospice (Section O0100k) but did not have a terminal prognosis (Section J1400). The Resident Assessment Coordinator, Registered Nurse #9, in an interview on 02/21/17 at 3:47 p.m. verified the assessments did not accurately reflect the resident's terminal prognosis. RESIDENT #127 The medical record for Resident #127 was reviewed on 02/21/17 at 1:45 p.m. A Hospice Certification and Plan of Treatment indicated hospice was initiated on 06/05/14 for a [DIAGNOSES REDACTED]. In an interview on 02/21/17 at 3:50 p.m. the Resident Assessment Coordinator, Registered Nurse #9, verified the assessments did not accurately reflect the resident's terminal status. In an interview on 02/21/17 at 4:15 p.m., Director of Nursing Services, Registered Nurse #5, stated hospice was good about getting the Certification of Terminal Illnesses to the facility, and if needed, the nurse could call and get them faxed over to verify the prognosis. She stated if a resident was on hospice, the facility should have certification of the terminal prognosis. | 2020-09-01 |