cms_SC: 6588

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
6588	FLORENCE REHAB & NURSING CENTER	425163	133 WEST CLARKE ROAD	FLORENCE	SC	29501	2014-06-19	333	E	0	1	T4HW11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On the days of the survey, based on observation, record review and interview, the facility failed to administer medications as ordered resulting in significant medication errors for 2 of 2 [MEDICAL TREATMENT] residents. The facility failed to administer extended release metaprolol as ordered for Resident #122. [MEDICATION NAME] was not administered per ordered parameters for Resident #117. The findings included: Record review on 6-17-14 at 3:25 PM revealed the facility admitted Resident #122 with [DIAGNOSES REDACTED]. The resident was hospitalized from 6-7-14 to 6-9-14 for Volume Overload and Exacerbation of [MEDICAL CONDITION] and from 6-12-14 to 6-14-14 for [MEDICAL CONDITION]. Review of the 6-14-14 hospital Discharge Summary on 6-17-14 at 4 PM revealed Resident #122 was discharged with all of his (her) preadmission med(ication)s, including [MEDICATION NAME] XL 100 mg (milligrams) extended release 1 (one) every day. The accompanying Universal Medication Form (Discharge Medication List) also noted the resident was to take [MEDICATION NAME] ([MEDICATION NAME] XL) 100 mg 1 tablet Extended Release 24 h(ou)r. l tablet oral daily at noon. Record review revealed handwritten physician's orders [REDACTED]. The order did not indicate that the extended release type of the medication should be administered. Review of the Medication Administration Record (MAR) revealed that this medication was given on 6-4, 5, 6, 10, 11, 12, 15, 16, 17, 2014 for a total of nine days/doses. Further review with LPN #3 and LPN #5 revealed that the medication cart contained [MEDICATION NAME] 100 mg, not [MEDICATION NAME]/not the [MEDICATION NAME] XL that was ordered. Both nurses verified the content of the cart at 6-17-14 at 4:30 PM. After reviewing and confirming the physician's transfer orders, LPN #3 stated s/he would write a clarification order and notify the physician. 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. When questioned, the 3-11 PM Licensed Practical Nurse (LPN) #6 and LPN #3 were unaware of the low BP. When asked about what the BP reading was that afternoon, the nurses obtained a result of 80/60 from the 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. 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 . During an interview on 6-18-14 at 9:15 AM, LPN #5 stated s/he gets the BP at anytime during the shift from the CNA (Certified Nursing Assistant) and that the BP was not taken prior to antihypertensive medication. The nurse also noted that the physician had discontinued the medication when notified of the low BP on 6-17-14. Record review on 6-18-14 revealed the facility admitted Resident #117 with [DIAGNOSES REDACTED]. 4-26-14 Hospital discharge medications included: [MEDICATION NAME] 25 mg PO one tab QD (daily). Hold if BP Review of Daily Skilled Nurse's Notes from 4-26-14 through the dates of the survey revealed that the systolic BP was less than 135 on the day shift as follows: 4-27-14=112/62, 4-28-14=100/60, 4-29-14=110/68, 4-30-14=121/62, 5-1-14=110/70, 5-2-14=101/64, 5-3-14=110/80, 5-4-14=108/70, 5-5 14= 100/62, 5-6-14=130/60, 5-7-14=110/60, 5-8-14=108/60, 5-10-14=110/70, 5-11-14=126/72, 5-13-14=110/72, 5-14-14=130/70, 5-15-14=131/68, 5-22-14=114/60, 5-31-14=103/60, 6-1-14=130/60, 6-3-14=110/58, 6-5-14=132/80, 6-7-14=130/70, 6-9-14=110/60, 6-10-14=130/70, 6-12-14=128/74. During an interview on 6-18-14 at 9:15 AM, LPN #5 stated s/he gets the BP at anytime during the shift from the CNA (Certified Nursing Assistant) and that the BP was not taken prior to antihypertensive medication. During an interview on 6-19-14 at 11:27 AM, the DON confirmed that the nurse neglected to transcribe the parameters for administration of the medication.	2017-12-01