cms_SC: 6585

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

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
6585 FLORENCE REHAB & NURSING CENTER 425163 133 WEST CLARKE ROAD FLORENCE SC 29501 2014-06-19 315 E 0 1 T4HW11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on record reviews, interviews, and review of the facility policy titled Intake and Output, the facility failed to provide appropriate care and services for 2 of 2 residents reviewed with a Foley Catheter. Resident #55 and Resident #89 had incomplete documentation of Intake and Output. The findings included: The facility admitted Resident #55 with [DIAGNOSES REDACTED]. Record review on 06-18-14 at approximately 10 AM of the Cumulative Physician's Orders dated 05-01-14 through 05-31-14 and 04-01-14 through 04-30-14 revealed the following orders, Foley Catheter care every shift second to Sacral Decubitus and Intake and Output (I&O) every (q) shift. Further record review on 06-18-14 of the Intake and Output Monitoring Log for April 2014 revealed the following omissions: 04-06-14: 3p-11p output 04-09-14: 3p-11p intake and output 04-10-14: 3p-11p intake and output 04-11-14: 11p-7a intake and output, 3p-11p output 04-12-14: 11p-7a intake and output 04-13-14: 3p-11p intake and output 04-14-14: 11p-7a intake and output, 3p-11p intake and output 04-15-14: 3p-11p intake and output 04-17-14: 7a-3p intake and output, 3p-11p intake and output 04-18-14: 3p-11p intake and output 04-20-14: 11p-7a intake and output, 7a-3p intake and output 04-21-14: 7a-3p intake and output, 3p-11p intake and output 04-22-14: 3p-11p intake and output 04-24-14: 3p-11p intake and output 4-25-14: 3p-11p output 04-28-14: 3p-11p intake and output 04-29-14: 3p-11p intake and output Additional record review on 06-18-14 of the Intake and Output Monitoring Log for May 2014 revealed the following omissions: 05-01-14: 3p-11p output 05-02-14: 3p-11p output 05-07-14: 3p-11p output 05-09-14: 7a-3p output 05-12-14: 11p-7a output 05-13-14: 3p-11p intake and output 05-22-14: 7a-3p output 05-25-14: 7a-3p output 05-26-14: 11p-7a intake and output 05-31-14: 7a-3p intake and output During an interview on 06-18-14 with the Corporate Consultant, h/she, after record review, verified the omissions on the April 2014 and May 2014 Intake and Output Monitoring Logs and further confirmed Resident #55 had a Foley Catheter. Review on 06-18-14 of the facility policy titled Intake and Output revealed the following, The following residents may require measurement and documentation of intake and output at the end of each shift: 1.) Residents with an indwelling catheter (output required). i.e The output of residents with indwelling catheters is determined at the end of each shift. The facility admitted Resident #89 with [DIAGNOSES REDACTED]. Record review on 6/18/14 revealed a current physician's order dated 5/30/14 for intake and output. Review of the current care plan revealed an approach to monitor intake and output every shift with a start date of 3/14/14. Review of the Intake and Output Monitoring Log for March 2014, April 2014 and May 2014 revealed multiple times intake and output was not monitored/recorded as follows: March 2014 March 1, 2014-11p-7a intake; 7a-3p intake/output March 2, 2014-7a-3p intake/output March 9, 2014- 3p-11p intake/output March 10, 2014-11p-7a-intake/output March 11, 2014-11p-7a-output March 15, 2014-11p-7a-ouput; 3p-11p intake/output March 16,2014 11p-7a-intake/output March 21, 2014-3p-11p-ouput March 22, 2014-7a-3p-intake/output March 23, 2014-7a-3p-intake/output March 24, 2014 11p-7a-ouput March 25, 2014-3p-11p-intake/output March 27, 2014-3p-11p-intake/output March 31, 2014-7a-3p-intake/output and 3p-11p-intake/output April 6, 2014-7a-3p-intake/output April 10, 2014-11p-7a-output April 11, 2014-11p-7a-intake/output and 7a-3p-output April 12, 2014-11p-7a-intake/output April 26, 2014-3p-11p-intake/output April 27, 2014-11p-7a-intake/output and 3p-11p-intake-output April 28,2014-11p-7a-intake/output May 4,2014-11p-7a-intake/output May 10, 2014-3p-11p-intake/output May 11, 2014-intake/output not documented for all three shifts May 12, 2014-11p-7a-intake/output May 13,2014-11p-7a-intake/output May 16, 2014-11p-7a-intake/output May 21, 2014-11p-7a-output May 24, 2014 11p-7a-output May 25, 2014-7a-3p-intake/output On 6/19/14, the Nurse Consultant reviewed the Intake and Output Logs and confirmed the lack of documentation. During an interview with the Director of Nursing on 6/29/14 at 3:55 PM, he/she stated the expectation of the nurses was to sign Treatment Administration Records and to complete Intake and Output Logs. 2017-12-01