cms_SC: 6580

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

rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
6580 FLORENCE REHAB & NURSING CENTER 425163 133 WEST CLARKE ROAD FLORENCE SC 29501 2014-06-19 157 E 0 1 T4HW11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on record review, interview, and review of the facility policy entitled Physician Notification (11-10-09), the facility failed to notify the physician and interested family member of changes in the residents' medical conditions potentially requiring physician intervention for one of twenty-two sampled residents reviewed for notification. Nursing staff failed to notify the attending physician and family of both low and high blood pressure (BP) readings for Resident #122 who was on [MEDICAL TREATMENT] and routine antihypertensive medication. The findings included: The facility admitted Resident #122 with [DIAGNOSES REDACTED]. Review of Daily Skilled Nurse's Notes on 6-17-14 at 4:40 PM revealed that the 7 AM-3 PM shift that day had documented an untimed BP of 68/34. There was no narrative entry for that shift to indicate that the physician had been notified. When questioned, the 3-11 PM Licensed Practical Nurse (LPN) #6 and LPN #3 were unaware of the low BP. After contacting Licensed Practical Nurse (LPN) #5, who had worked the day shift, LPN #3 confirmed that the physician had not been notified. When asked about what the BP reading was that afternoon, the nurses obtained a result of 80/60 from a Certified Nursing Assistant. Further review of Daily Skilled Nurse's Notes revealed a BP of 80/60 recorded on the evening shift on 6-12-14. There was no evidence of physician notification in the record. The next BP recorded was taken at approximately 5:30 PM prior to the resident being sent to the emergency room when noted to be anxious, SOB (short of breath), + having labored breathing .80/62 . On 6-10-14, an untimed BP of 189/71 was recorded on the evening shift. There was no narrative entry for that shift, indicating that the physician had been notified. During an interview at approximately 4:45 on 6-17-14, LPN #3 reviewed the medical record and confirmed that the physician had not been notified of the above. Review of the facility policy entitled Physician Notification (11-10-09) revealed that nursing staff should Call MD if systolic blood pressure is less than 90 (or) .greater than 180 . Please remember that the responsible party needs to be notified as well. Please be sure to document this in the medical record. 2017-12-01