cms_SC: 6284
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 6284 |
HONORAGE NURSING CENTER |
425115 |
1207 NORTH CASHUA ROAD |
FLORENCE |
SC |
29501 |
2014-06-19 |
309 |
D |
0 |
1 |
CZWK11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on record review and interview, the facility failed to provide necessary care and services to attain or maintain the highest practicable physical well-being for 1 of 19 residents reviewed for care and services. The facility failed to notify the physician and start treatment in a timely manner for Resident #58 with no documented bowel movement for 6 days. The findings included: The facility admitted Resident #58 with [DIAGNOSES REDACTED]. The resident is currently receiving Hospice services. Review of the medical record revealed the care plan noted the potential for alteration in bowel pattern related to [DIAGNOSES REDACTED]. Documented interventions included monitor for adverse drug events affecting bowel pattern (constipation .) and notify MD if observed and observe for s/s (signs and symptoms) of constipation. Review of the Nurses's Notes dated 6/2/14 indicated, hospice Nurse in facility, made hospice Nurse aware that resident has not had a bowel movement since 26th, Hospice nurse made dr. aware and wishes to order [MEDICATION NAME] for resident, awaiting order and directions from dr. Review of the Hospice Nurses's Notes dated 6/2/14 revealed, .last BM 5/26/24. No bowel regimen. Will notify MD to restart bowel regimen. Review of the BM Report Roster confirmed the finding that Resident #58 had not had a bowel movement from 5/27/24 until 6/2/14. Review of the Physician's Telephone Orders dated 6/5/14 indicated Senna-S twice daily was ordered on that date. Review of the June 2014 Medication Administration Record [REDACTED]. During an interview on 6/18/14, the Director of Nursing (DON) reviewed the above documentation and confirmed the findings. The DON was asked if the facility had a Bowel Protocol policy and stated that there was no written protocol. During the interview, the DON stated that the Certified Nursing Assistants document daily in the BM Report Roster, and the report is reviewed daily during the staff meeting. Review of the facility's Standing Orders indicated that Laxative or enema of choice prn (as needed) was included in the orders. |
2018-04-01 |