cms_SC: 6347

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
6347	WILDEWOOD DOWNS NURSING AND REHABILITATION CENTER	425385	1215 WILDEWOOD DOWNS CIRCLE	COLUMBIA	SC	29223	2014-11-25	155	D	0	1	YE6D11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews and the facility's document titled Understanding CPR the facility failed to ensure 1 of 12 sampled residents reviewed for rights to formulate an advance directive were given the opportunity to sign their own advance directive. There was no documentation of two physician's signatures to determine that Resident #163 could not make their own health care decisions related to Do Not Resuscitate (DNR). The findings include: The facility admitted Resident #163 with the [DIAGNOSES REDACTED]. Review of Resident #163's medical record on [DATE] at approximately 4:11 PM revealed the resident was a Do Not Resuscitate (DNR). Further review of the medical record revealed the resident's advanced directives. Review of the facility document titled Code Status noted there will be no heroic measures provided in emergency situations. The resident will remain at the facility and kept comfortable. Oxygen would be provided and comfort measures will be provided as ordered by the physician. CPR would not be provided. This document was signed by the resident's responsible party along with 2 witnesses and one physician. Further review of Resident #163's medical record on [DATE] revealed a form titled Understanding CPR that noted CPR is emergency medical procedure used in an attempt to restore circulation and respiration, which have ceased. The section under Limited Treatment Policy stated the policy is that all residents will be provided health care unless the attending physician enters a contrary order in the resident's medical record. Incompetent Resident: Law permits decisions to be made on behalf of a resident who lacks decisional capacity in several ways .If when competent, the resident has executed a declaration of desire for a natural death in accordance with State law, then life-prolonging treatment can be withheld in accordance with the resident's instructions set forth in the living will. Resident #163's medical record revealed no living will specifying the resident's desire for a natural death, nor two physician's signature deeming the resident incompetent to make health care decisions. During an interview with Director of Nursing on [DATE] at approximately 10:04 AM, s/he confirmed the resident did not sign his/her advanced directives and that the resident had not been deemed incompetent by two physicians. During an interview with the Social Services Director on [DATE] at approximately 11:25 AM: s/he confirmed that the facility does not get two physician signatures deeming residents incompetent if they do not sign their advance directives. S/he further stated residents normally come in confused and do not want to sign forms. Advanced directives are discussed during admission and whenever the family or residents want it changed.	2018-04-01