cms_SC: 6251

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
6251 SALUDA NURSING CENTER 425081 581 NEWBERRY HIGHWAY SALUDA SC 29138 2014-04-30 274 D 0 1 0D6111 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification Survey, based on record reviews, interviews, and review of CMS's (Centers for Medicare & Medicaid Services) RAI (Resident Assessment Instrument) Version 3.0 Manual, the facility failed to conduct a Significant Change in Status Assessment after an improvement in 2 areas of ADL assistance was newly coded as 0, 1, or 2 when previously scored as a 3, 4, or 8 for Residents # 7, 1 of 3 residents reviewed for a significant change in status. The findings included: The facility admitted Resident #7 with [DIAGNOSES REDACTED]. On 4/29/14 at 11:30 AM, review of the Admission MDS (Minimal Data Set) dated 5/27/13 revealed Resident # 7 was coded as being total dependence with locomotion on and off the unit and for eating. Comparison to the Quarterly MDS dated [DATE] indicated the resident had improved and was coded as limited assistance for locomotion on and off the unit and for eating. Further review revealed the improvement had occurred between an 8/22/13 Quarterly MDS which coded the resident as extensive assistance for both areas and a 11/11/13 Quarterly MDS which newly coded the resident as limited assistance in both areas. During an interview on 4/29/14 at 11:35 AM, Registered Nurse #4 confirmed the MDS documentation on 11/11/13 indicated improvement in locomotion and eating and verified that a Significant Change in Status Assessment should have been conducted. A review of CMS's RAI Version 3.0 Manual, Chapter 2, page 2-20 revealed The SCSA (Significant Change in Status Assessment) is a comprehensive assessment for a resident that must be completed when the IDT (Interdisciplinary Team) has determined that a resident meets the significant change guidelines for either improvement or decline. The manual further described the guidelines for a SCSA including A SCSA is appropriate when: There is a determination that a significant change (either improvement or decline) in a resident's condition from his/her baseline has occurred as indicated by comparison of the resident's current status to the most recent comprehensive assessment and any subsequent Quarterly assessments . In addition, the manual indicated, page 2-24, a SCSA would be appropriate for Any improvement in two or more of the following: any improvement in an ADL (Activity of Daily Living) physical functioning area where a resident is newly coded as Independent, Supervision, or Limited assistance since last assessment . 2018-04-01