cms_SC: 6282

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
6282 HONORAGE NURSING CENTER 425115 1207 NORTH CASHUA ROAD FLORENCE SC 29501 2014-06-19 248 D 0 1 CZWK11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey based on observations, record review and interviews, the facility failed to provide a resident with an ongoing program of activities for 1 of 2 sampled residents reviewed for activities and random observations of multiple residents not being provided with activities. Resident #7 was observed several times in the room while activities of his/her preference were being offered. The findings include: The facility admitted Resident #7 with the [DIAGNOSES REDACTED]. Review of the Annual Minimum Data Set with the Assessment Reference Date of 8/27/13, documented the resident had short and long term memory impairment and moderately impaired cognitive skills for daily decision making. The MDS also indicated it was important for the resident to do his/her favorite activities, important for him/her to listen to music, very important to do things with group of people and very important to participate in religious activities. During an interview with Resident #7's responsible party on 6/17/14 at approximately 9:53 AM, s/he stated that the resident does not participate in activities due to being bedfast and was not aware if the resident attended activities. Review of Resident #7's Activity Evaluation on 6/17/14 at approximately 2:28 PM revealed the residents current interest included music and spiritual/religious activities. Review of the Activities progress note form dated 2/13/14 on 6/17/14 at 2:44 PM revealed a Quarterly Activity assessment that specified the resident current interests were religious services, group socializing and frequent visitors. Resident #7's activities care plan with a problem onset of 2/20/14 noted: Dependent on staff for all activities, cognitive stimulation and social interaction due to [MEDICAL CONDITION] and Dementia. S/he has frequent visits from his/her family and church family. Interventions related to activities noted Assist to and from activities as needed and invite to scheduled activities. Resident #7's room was observed initially on 6/17/14 at approximately 11:00 AM. The resident did not have a radio or any other means to listen to music in the room. During this observation the resident was reclined in Geri chair with eyes closed. Additional observations of Resident #7 included the following: 6/17/14 at approximately 3:10 PM the resident was observed in the room lying in bed. The resident was not observed in activities today. A hamburger social was ongoing in the activity area on the west hall. 6/18/14 at approximately 10:32 AM a musical/religious activity was being conducted in the activity room. The resident was observed in his/her room, sitting in Geri chair. 6/18/14 at approximately 2:20 PM revealed the resident in the bed while a group activity of Bingo was ongoing in the activity room. On 6/18/14 at approximately 2:29 PM, Certified Nursing Assistant (CNA) #1 who was assigned to care for Resident #7 was interviewed. During the interview with CNA #1 s/he verified that the resident had not been to group activities provided by the facility. CNA #1 stated the resident stayed in the room most of the day and stated that the resident does like to attend spiritual/religious activities. On 6/18/14 at approximately 2:47 PM the Activity Director was interviewed and stated that Resident #7 participates in very few activities. Majority of his/her activities are one to one visits. We try to do one to one activities for residents who cannot participate in group activities.The Activity Director on 6/18/14 at approximately 3:00 PM, stated every day one of the Activity department employees went to each resident to say good morning which s/he documented as an activity. Further review of the activity log indicated movies/television was considered as an in room activity. On 6/18/14 at approximately 4:12 PM an interview was done with Activity Assistant #1. During the interview s/he stated that the daily greeting and conversation only last a couple of minutes and s/he was just informed that Resident # 7 needed to be added to one to one for activities. 2018-04-01