cms_SC: 5759

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.

Data source: Big Local News · About: big-local-datasette

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
5759	COVENANT TOWERS HEALTHCARE CENTER	425382	5001 LITTLE RIVER ROAD	MYRTLE BEACH	SC	29577	2015-01-29	155	D	0	1	EI2O11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews and review of the Resident Handbook, the facility failed to afford 1 of 6 residents the right to formulate an Advance Directive. Resident #56 had not been deemed unable to make own healthcare decisions concerning his/her Advance Directive/health care decisions by 2 physicians. The findings included: The facility admitted Resident #56 with [DIAGNOSES REDACTED]. Review of Resident #56's medical record on 1/27/2015 at approximately 12:04 PM revealed a form titled, Certification of Patient's Inability to Consent to Health Care Decisions, signed by only 1 physician and not the required 2 physicians. Further review of the medical record revealed a form titled, Do Not Resuscitate (DNR) Consent, signed by Resident #56's daughter on 1/23/2015. Resident #56 has the authority to make his/her own health care decisions until deemed unable to make own health care decisions by 2 physicians. During an interview on 1/27/2015 at approximately 12:10 PM with the Assistant Director of Nursing, he/she confirmed, after chart review, the Certification of Patient's Inability to Consent to Health Care Decisions, had been signed by only 1 physician and the not the required 2 physicians. Review on 1/27/2015 at approximately 12:30 PM of the Resident Handbook, page 14, Section titled, Code Status Request, states, A code status request is a physician's orders [REDACTED]. The resident's wishes will be made known through the signing of a code status request by the resident or a legally designated representative. The code status request will be signed by the attending physician and one other physician and will become part of the medical record at Covenant Towers. and the following section titled, Absence of an Advanced Directive, states, Competent residents will have the right to make all decisions regarding their health care. If an individual is deemed incompetent by the designation of the attending physician and one other physician or a legal entity and has not performed an advanced directive of any form, the resident may still have health care decisions made on his or her behalf through a court appointed guardian, typically a family member.	2018-10-01