cms_SC: 6589

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
6589	FLORENCE REHAB & NURSING CENTER	425163	133 WEST CLARKE ROAD	FLORENCE	SC	29501	2014-06-19	371	E	0	1	T4HW11	On the days of the survey, based on observation, interview, and review of facility policy Nourishments, and Sanitation and Infection Control the facility failed to remove expired nutritional supplements from the medication/supplement storage area for 1 of 3 medication/supplement storage rooms. The deficient practice had the potential to affect all residents receiving this nutritional supplement who resided on the unit. Additionally, the facility failed to serve/distribute food in a sanitary manner, as evidenced by random observations of staff touching bread products with their bare hands. (2 of 3 units observed during meal delivery.) The findings included: On 6/16/14 at 11:20 AM, an observation of the Central Hall medication/supplement storage area with LPN #1 and the Director of Nursing (DON) revealed 3 (32 Fluid Oz./ 946 mL) unopened cartons and 1 opened (approximately 8 Oz.) of Lyons Ready Care No Sugar Added NSA 1.7 High Calorie High Protein Supplement Drink Vanilla (Lot # 4323-D), with a use by date of 5/22/14. LPN # 1 and the DON verified the date and indicated that they should have been removed from use. Review of the facility policy entitled Nourishments, under section Instructions unopened/thawedstated: Shelf stable, monitor manufacture expiration date. During a random observation of the lunch meal on 6/16/14 at 12:33 PM, CNA (Certified Nursing Assistant) #3 was noted to touch two resident's bread with his/her bare hand when applying butter to the bread. During an observation on 6/18/14 at 12:25 PM, CNA #1 touched cornbread with his/her bare hand while applying butter to the bread while serving a resident's meal. During an interview with CNA #1 on 6/18/14 at 4:04 PM, he/she confirmed the cornbread had been touched with his/her bare hand and s/he stated s/he was trying not to let the cornbread fall apart. A random observation on 06-16-14 at approximately 12:32 PM of the Center Hall lunch meal distribution revealed Licensed Practical Nurse (LPN) #3 failed to sanitize his/her hands, cut a resident's sandwich in half, and proceeded to place the sandwich into a plastic bag using bare hands. A second random observation on 06-18-14 at approximately 12:58 PM of the Center Hall lunch meal distribution revealed Certified Nursing Assistant (CNA) #2 opened a pack of crackers and placed them with his/her bare hands onto the resident's plate. During an interview on 06-19-14 with LPN #3, s/he verified s/he had failed to sanitize his/her hands and had touched the resident's bread with his/her bare hands. CNA #2 was unavailable for interview. Review of the facility policy titled Sanitation and Infection Control revealed in Procedure: #2. the following, Avoid touching food with bare hands .i.e If direct contact with food is necessary always have clean, washed hands and limit contact to minimal.	2017-12-01