cms_SC: 5606

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
5606 WOODRUFF MANOR 425179 1114 EAST GEORGIA ROAD WOODRUFF SC 29388 2015-06-04 157 E 0 1 02VR11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record reviews and interviews, the facility failed to notify the physician of behaviors for Resident #5 and #14, 2 of 9 residents reviewed for behaviors. The facility failed to notify the physician that Resident #14 was refusing Fingerstick Blood Sugars (FSBS) and/or Sliding Scale Insulin (SSI) and failed to notify the physician of Resident #5's continued behaviors that included refusing care, screaming/yelling and inappropriate sexual behavior. The findings included: The facility admitted Resident #5 with [DIAGNOSES REDACTED]. On 6/3/15 at 11:55 AM, record review revealed a Psychiatric Progress Note dated 12/18/15 that stated Pt (patient) is still having sexual interactions (with) another pt. who is also very pursuant of that activity and stated that the resident's medication was adjusted. Review of the Psychoactive Drug Weekly Evaluation forms from 12/19/14 to 5/22/15 revealed the resident was documented as exhibiting cursing, arguing, inappropriate sexual behavior, manipulative/ demanding behavior, resisting/refusing care, screaming/ yelling, accusing others, and aggressive behaviors that varied from week to week. There was no documentation that the physician had been notified of any of the continued behaviors. Review of the Interdisciplinary Progress Notes revealed the resident was reviewed for devices and transfers on 4/27/15 but not for behaviors. The notes further indicated the resident was reviewed for picking at several other residents, poking them (with) his fingers and becoming verbally aggressive toward another resident on 5/27/15 and a new intervention was implemented that the resident would eat meals in the unit day room instead of the main dining room; there was no documentation the physician was notified. During an interview on 6/3/15 at 3:25 PM, Licensed Practical Nurse (LPN) #4 confirmed the documentation of the continued behaviors including sexually inappropriate behaviors, and that there was no documentation in the IDT notes or in the nurses notes of physician notification. The LPN also stated the resident was on 15 minute checks to monitor for behaviors and the resident's location. During an interview at 3:58 PM, LPN #5 stated s/he thought the documentation on the Psychoactive Drug Weekly Evaluation forms were to indicate why the resident was on the medication and not current behaviors. The LPN was unable to explain why behaviors were documented on some weeks and not on other weeks. On 6/4/15 at 9:35 AM, the Nursing Home Administrator (NHA confirmed the documentation on the Psychoactive Drug Weekly Evaluation forms and that the documentation varied from day-to-day. The NHA also confirmed the resident was still on 15 minute checks but denied that the resident was having sexually inappropriate behaviors despite the documentation and stated We have issues with documentation. The facility admitted Resident #15 with [DIAGNOSES REDACTED]. On 6/4/15, record review revealed an order for [REDACTED]. The resident also refused the SSI on 5/18/15 for a FSBS of 294. Review of the Nurse's Notes from 4/16-through 5/28/15 revealed no documentation that the physician was notified of the resident's refusal of treatments. Review of the Nurse's Notes also revealed a note dated 4/17/15 at 1330 (sic) that the Resident refused all meds (medications) tx's (treatments) today .(the resident) is totally noncompliant (with) everything .(Her/His) behaviors are increasing (and) (she/he) is becoming violent. Will continue to observe. There was no documentation that the physician was notified of the resident's behaviors. Review of the facility's policy entitled [DIAGNOSES REDACTED] and [MEDICAL CONDITION] Protocol revealed no protocol to call the physician if the resident refused treatment. 2018-11-01