cms_SC: 5621
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
5621 | PRINCE GEORGE HEALTHCARE CENTER | 425295 | 901 MAPLE STREET | GEORGETOWN | SC | 29440 | 2015-01-15 | 155 | D | 0 | 1 | JQ1711 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to ensure residents were afforded the opportunity to formulate an Advance Directive for 1 of 18 residents reviewed for Advance Directives. (Resident #9) The findings included: The facility admitted Resident #9 with [DIAGNOSES REDACTED]. Review of the Advance Directives section of the medical record revealed that the Medical Intervention Guideline form was not signed by the resident. Information on this form indicated, It is your right to make important decisions regarding life-sustaining treatment. This Medical Intervention Guideline Form provides you the opportunity to inform us of your desires regarding treatment. Further record review revealed there was no determination by two physicians to indicate that Resident #9 was unable to make his/her own healthcare decisions as required under Section 44-66-20 of the Adult Health Care Consent Act. During an interview on 1/15/15 at approximately 2:15 PM, the facility's Social Worker stated that it was his/her process to interview residents to determine their ability to sign an Advance Directive; and if unable to sign, two physicians would certify that the resident was unable to make healthcare decisions, and a representative would sign the Advance Directive. The Social Worker reviewed Resident #9's record and verified that the form attesting to Resident #9's decision-making capacity was missing from the record. The Social Worker stated that he/she would provide the form when located. On 1/15/15 at approximately 3:26 PM, the surveyor was informed that the form had not been located. No form was provided prior to exit from the facility. | 2018-11-01 |