cms_SC: 593

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
593 MYRTLE BEACH MANOR 425070 9547 HIGHWAY 17, NORTH MYRTLE BEACH SC 29572 2017-08-11 157 D 0 1 PD4911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record reviews, interviews, and review of the facility policy titled, Resident Condition Changes That Require Physician Notification Guidelines, the facility failed to ensure the responsible party and/or an interested family member was notified of the development of a pressure ulcer for Resident #180 and #203 for 2 of 3 residents reviewed with pressure ulcers. The findings included: The facility admitted Resident #180 with [DIAGNOSES REDACTED]. Review on 8/11/2017 at approximately 2:50 PM of the medical record for Resident #180 revealed Resident #180 was admitted 7 days prior to the development of a stage II pressure area to his/her sacral area. Review on 8/11/2017 at approximately 2:50 PM of the nurses notes for Resident #180 did not include documentation to ensure that the responsible party nor the spouse was notified of the development of a stage II pressure ulcer located on the sacrum of Resident #180. An interview on 8/11/2017 at approximately 3:00 PM with Licensed Practical Nurse (LPN) #2 confirmed that the responsible party/interested family member had not been notified of the development of a stage II pressure area on the sacrum of Resident #180. Review on 8/11/2017 at approximately 3:30 PM of the facility policy titled, Resident Condition Changes That Require Physician Notification Guidelines, states on page 3 under, Expectations, Number 1, Licensed nurses (staff and management) are expected to recognize resident situations/conditions that require physician notification. The nurse shall complete an assessment of the condition, including levels of urgency. The nurse shall implement appropriate interventions and have accurate information available when contacting the physician. Number 4 states, The licensed nurse shall also notify, the Unit Nurse Manager/Nursing Supervisor and the Resident and/or family. Also, Provide appropriate follow-up with staff who do not comply with facility guidelines. The facility admitted Resident #203 with [DIAGNOSES REDACTED]. Record review on 8/10/17 of the Nursing Weekly Wound Progress Review revealed Resident #203 developed a Stage II pressure area on the right heel on 7/17/17. On 7/28/17 documentation on the Nursing Weekly Wound Progress Review stated the resident had developed a deep tissue injury to the left heel. Review of the Nursing Weekly Wound Progress Review and the Nurse's Notes during that time revealed the responsible party was not notified of the development of the wounds. 2020-09-01