cms_SC: 6265

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
6265 MAGNOLIA MANOR - GREENVILLE 425090 411 ANSEL ST GREENVILLE SC 29601 2014-06-19 333 E 0 1 336311 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification survey, based on record review and interview, the facility failed to ensure that 3 of 11 residents reviewed for medication assessment were free of significant medication errors. The facility failed to administer insulin per Fingerstick Blood Sugar (FSBS) results as ordered for Resident #3 and Resident #4. Resident #11 did not receive [MEDICATION NAME] as ordered for low hemoglobin results. The findings included: The facility admitted Resident #3 to the facility with [DIAGNOSES REDACTED]. On 6/18/14 at approximately 4:00 PM, record review revealed a 1-4-11 physician's orders [REDACTED].Check BS (blood sugar) before meals and HS (bedtime). Give additional 15 units of [MEDICATION NAME] if BS > (greater than) 400 then Recheck in 1 hour and call MD (physician) if > 400. Review of the 4/14 Medication Flowsheet on 6/18/14 revealed that a FSBS was not checked on 4/23/14 at 11:30 AM and 4/13/14 at 9:00 PM. The FSBS was not rechecked in 1 hour as ordered for results > 400 on 4/6/14 at 11:30 AM when the BS was 508 and on 4/14/14 at 11:30 AM when the BS was 495. Review of the 5/14 Medication Flowsheet revealed that on 5/2/14 at 9:00 PM, a blood sugar of 422 was recorded with no noted insulin given or recheck of the BS as ordered. On 5/12/14 at 4:30 PM, a blood sugar of 507 was recorded with no noted insulin given or BS recheck. Also, there were no FSBS results documented for 5/31/14 at 4:30 PM. Review of the 6/14 Medication Flowsheet revealed that the blood sugar for 6/13/14 at 4:30 PM was not done as ordered. During an interview with the Assistant Director of Nursing on 6/18/14 at approximately 4:00 PM, s/he verified that the blood sugars were not documented as done per the physician's orders [REDACTED]. The facility admitted Resident #11 with [DIAGNOSES REDACTED]. On 6/19/2014 at approximately 8:30 am, record review revealed 1-29-13 physician's orders [REDACTED].Injection .Give if Hgb (Hemoglobin) Review of the Medication Administration Records (MARs) revealed that [MEDICATION NAME] was not given as ordered from 10/2013 through 6/2014 based on the hemoglobin and hematocrit levels. Record review revealed that the dates scheduled for [MEDICATION NAME] administration on the MAR indicated [REDACTED]. On 10-23-13, the Hgb was 10.3 g/dL (normal range 13.0-16.5). [MEDICATION NAME] was scheduled for administration on the MAR for 10-25-13, but was not initialed as given. On 11-22-13, the Hgb was 10.1. [MEDICATION NAME] was scheduled for administration on the MAR for 11-22-13, but the nurse's initials were circled, indicating the medication was omitted. On 4-7-14, the Hgb was 9.4. The MAR indicated [REDACTED]. On 4-23-14, the Hgb was 8.8. [MEDICATION NAME] was scheduled for administration on the MAR for 4-25-14, but was not initialed as given. The MAR indicated [REDACTED]. The [MEDICATION NAME] was not initialed as given on 5-9-14. On 5-23-14, [MEDICATION NAME] was given, but the lab test was not drawn until 5-28-14 (Hgb = 8.9). On 6-6-14, the nurse's initials were circled on the MAR indicated [REDACTED]. During an interview on 6/19/14 at approximately 9:55 AM, the Assistant Director of Nursing confirmed that there was no evidence the [MEDICATION NAME] was administered as ordered/or was incorrectly administered. The facility admitted Resident #4 with [DIAGNOSES REDACTED]. On 6/16/14 at 4:19 PM, review of the Physician order [REDACTED]. Further review revealed an order for [REDACTED]. On 6/17/14 at 10:14 review of the Medications Flowsheet dated 6/1/14 - 6/30/14 revealed FSBS's greater than 300 on 6/3 at 4:30 PM, 6/4 at 6:30 AM and at 4:30 PM, 6/5 at 4:30 PM, 6/7 at 6:30 AM, 6/8 at 4:30 PM, 6/9 at 6:30 AM and at 4:30 PM and 6/10/14 at 6:30 AM with no administration of [MEDICATION NAME] documented. Review of the Medications Flowsheet dated 5/1/14 - 5/31/14 revealed a FSBS of 384 on 5/2/14 with no documentation of insulin administration. Further review of the 4/1/14 - 4/30/14 Medications Flowsheet revealed FSBS greater than 300 on 4/8 at 4:30 PM, 4/14 at 4:30 PM, 4/23 at 4:30 PM, 4/24 at 4:30 PM, 4/26 at 4:30 PM, 4/28 at 4:30 PM and 4/30 at 4:30 PM with no documentation that the [MEDICATION NAME] was administered as ordered. Review of the laboratory reports revealed the resident had a HgbA1C (Glycated hemoglobin) (used as a standard tool to determine blood sugar control for patients with diabetes) on 2/3/14 with a result of 9.5 with a notation that the result was slightly worse. During an interview on 6/18/14 at 10:25 AM, Registered Nurse #2 confirmed the [MEDICATION NAME]was not administered as ordered for FSBS greater than 300 and confirmed the result of the elevated HgbA1c. 2018-04-01