cms_SC: 6412
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6412 | LAKE CITY SCRANTON HEALTHCARE CENTER | 425149 | 1940 BOYD ROAD | SCRANTON | SC | 29591 | 2014-04-03 | 152 | D | 0 | 1 | S8GD11 | **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 ensure a resident who had not been judged incompetent by the State court resident's rights were exercised to the extent provided by State law. The facility failed to have two physicians sign a certification of capacity for Resident # 7 prior to writing a Do Not Resuscitate order. The findings included: Review of Resident #7's medical record revealed s/he was discharged to the hospital on [DATE] and readmitted to the facility on [DATE]. Review of Resident #7's record on [DATE] revealed a facility Physicians Certification of Competency of Resident form with one Physician signature that indicated the resident was unable to comprehend the Residents Rights and Responsibilities of the facility due to dementia. Only one Physician on [DATE] signed the form on [DATE]. Further review of the medical record revealed a physician's orders [REDACTED]. There was a Nurse's Note dated [DATE] at 1:45 PM Resident DNR entire stay per family & MD. Review of the Advance Directives form and the Advance Directive Flash Sheet form revealed Resident #7 ' s granddaughter on [DATE] signed them both. The forms both indicated that Resident #7's granddaughter did not wish for CPR (Cardiopulmonary Resuscitation) to be performed on Resident #7. Review of the Social Progress Notes dated [DATE] at 1:00 PM indicated that Resident #7's family meeting was held that day. The Social Services progress notes documented the Physician was present to discuss with the family about how the resident's cognitive status and health had changed. Resident #7 was no longer able to make good health care decisions due to a change in competency status. Resident #7's family agreed and Resident #7 has a DNR status in place. Physician has deemed Resident #7 incompetent. In an interview with the surveyor on [DATE] at approximately 11:30 AM, Social Service staff stated that Resident #7 was competent but had a decline in health. Social Service staff stated that one Physician signed the Certification of Competency form during the meeting with the family and that the nurse wrote the order at the meeting. Social Service staff provided a facility Physicians Certification of Competency of Resident form for Resident #7 that had a second Physician's signature dated [DATE]. Social Service staff stated that the form with two Physician's signatures was located in medical records and was placed on the chart after the surveyor reviewed the chart on [DATE]. In an interview with the surveyor on [DATE] at approximately 12:10 PM the Social Services Director stated that the facility did not have a policy on resident inability to consent for code status. The Social Services Director stated that the facility uses the Adult Health Care Consent Act and provided a copy. Review of the Adult Health Care Consent Act revealed, A patient's inability to consent must be certified by two licensed physicians, each of whom has examined the patient. | 2018-03-01 |