cms_SC: 6016

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
6016	EMERITUS AT GREENVILLE	425373	1306 PELHAM RD	GREENVILLE	SC	29615	2014-12-18	155	D	0	1	MXTQ11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the Do Not Resuscitate (DNR) Order was written by the physician for 1 of 5 sampled residents reviewed for advanced directives without evidence of discussion with the resident or the legal representative. Prior to the DNR order being written for Resident #10, there was no evidence of certification by two physicians of the resident's inability to make health care decisions or of involvement of the resident/legal representative in decision-making related to this order. There were also discrepancies in chart documents related to the resident's code status. The findings included: The facility admitted Resident #10, with current [DIAGNOSES REDACTED]. Record review on [DATE] revealed an Emergency Medical Services Do Not Resuscitate Order (not for use in the facility) signed by a family member on [DATE], the day after admission. The Care Plan initiated the same date noted Code Status is DNR. The hospital Discharge Summary stated: Husband requests full code. Record review on [DATE] at approximately 4:00 PM revealed discrepancies with the DNR order and the History and Physical Notes/Progress Note History by the physician. The DNR order was written on [DATE]. The History and Physical of the same date ([DATE]) noted: Code Status: Full Scope of Treatment. The Progress Note History by the Nurse Practitioner dated [DATE] and [DATE] stated: Code Status: Full Scope of Treatment. Review of the [DATE] Admission Minimum Data Set Assessment revealed a Brief Interview for Mental Status score of 99 indicating the resident was unable to complete the interview. S/he was noted with both long- and short-term memory problems and with moderately impaired cognitive skills for daily decision-making. There was no documentation found in the record related to resident or legal representative involvement in decision making regarding the DNR order. On the [DATE] Physician's Progress Notes, the physician wrote, Agree pt (patient) lacks decisional capacity re: (reference) CPR but no evidence was found in the record of another physician's initial evaluation of the resident's ability to make health care decisions. During an interview with the Medical Records Coordinator on [DATE] at approximately 4:15 PM, s/he stated that the facility did not use a form for determination of health care decision making capacity or for the resident or legal representative to sign to make decisions about health care. Also, s/he was unaware that two physicians were required to evaluate and determine the resident's inability to make health care decisions.	2018-07-01