cms_SC: 6581

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
6581	FLORENCE REHAB & NURSING CENTER	425163	133 WEST CLARKE ROAD	FLORENCE	SC	29501	2014-06-19	241	E	0	1	T4HW11	On the days of the survey, based on observation, review of the facility provided policy related to dignity, and interview, the facility failed to provide an environment to promote dignity of residents during the dining experience and while transporting residents. Staff placed gowns and clothing protectors over Residents #82, #6, and one randomly observed resident in one of two dining rooms. Staff were also noted to move randomly observed residents in gerichairs/ wheelchairs without addressing the residents. The findings included: During meal observations on 6-16-14 at 12:53 PM, on 6-17-14 and 6-18-14 at breakfast and lunch meals, and on 6-19-14 at 8:28 AM, Resident #82 was noted at a table facing the door in the dining room on East Hall with a gown and clothing protector over his/her clothing. Two other residents (#6 and a randomly observed resident) seated at another table were also noted dressed/draped in the same manner. Resident # 6 was being fed by a staff member seated at his/her side and the randomly observed resident was feeding him(her)self. During an interview on 6-18-14 during the breakfast meal, Licensed Practical Nurse #3 noted that the resident had increased spillage and stated, That's why we put the gown on him (her). During an interview on 6-19-14 at approximately 11:30 AM, the Director of Nursing and Registered Nurse (RN) Consultant stated they had never observed residents draped with gowns in the dining room and were unaware staff were in the habit of doing so. At 1:15 PM on 6-19-14, the residents were again observed in the West Hall dining room in the same condition. This was brought to the attention of the RN consultant who confirmed the observation. Random observations on 6/18/14 at 12:25 PM and 3:34 PM revealed CNA (Certified Nursing Assistant) #1 approached two different residents and without addressing the residents, began moving the resident(s) to another location. He/she also was observed to pull a resident backwards and out of the way of another resident with informing the resident of his/her intention. On 6/18/14 at 4:04 PM, during an interview with CNA #1, he/she confirmed that he/she did not always address residents prior to moving them to another location. The facility provided a policy related to dignity which states: Always introduce yourself and always explain what you are going to do before you do it. Don't just go up to a resident and start pushing them to the D/R(dining room) to eat without saying a word, instead you should say 'Mrs.(NAME)This(sic)(NAME)if your are ready to go to lunch I will take you to the D/R now.'	2017-12-01