cms_SC: 74

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
74	FAITH HEALTHCARE CENTER	425009	617 WEST MARION STREET	FLORENCE	SC	29501	2017-06-14	329	D	0	1	J20Y11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview and record review it was determined the facility failed to ensure two (#s 113 & 94) of five residents reviewed for unnecessary medications were free from unnecessary medications. Failure to adequately monitor behaviors, attempt non-drug interventions prior to the use of as needed anti-anxiety medication, and administration of pain medication and anti-anxiety medication at the same time for Resident #113, and failure to ensure a proper [DIAGNOSES REDACTED].#94 placed these residents at risk to receive an unnecessary medication. Findings include: 1. Review of the most current physician's orders [REDACTED]. In an interview on 04/12/17 at 1:47 p.m., Licensed Nurse #51 explained when a nurse administered a prn medication, they would complete the behavior monitoring form and/or document in the nurse's notes what staff attempted prior to administering the medication (non-drug interventions), what behaviors the resident exhibited that required the interventions and if the medication was effective. Review of the Medication Administration Record (MAR) on 04/12/17 at 1:54 p.m. revealed no behavior monitoring forms for this resident. The front of the MAR indicated the resident received prn [MEDICATION NAME] on 12 or 13 occasions (unable to decipher handwriting) from 04/04/17 through 04/12/17. Only five of the administrations were listed on the back of the MAR with the reason for giving yelling & screaming each time and that the dose was effective. There were no non-drug interventions (NDIs) identified for any of those doses. Review of the nurse's notes, at 04/12/17 at 2:07 p.m., revealed no mention of the resident's behaviors or the administration of the medication on ten of the occasions the resident received the medication (04/04, 06, 07, 08, or 09/17 at 5:00 a.m.) The nurse's note on 04/09/17 at 11:00 p.m. and 04/11/17 at 12:30 p.m. identified the resident's behaviors and attempted NDIs prior to administration of the medication. Entries on both 04/10/17 at 11:00 p.m. and 04/11/17 at 11:00 p.m. revealed the resident was administered prn pain medication and prn [MEDICATION NAME] at the same time, without mention of NDIs and without consideration that if the pain was treated perhaps the anxiety would also be managed without medication. In an interview on 04/12/17 at 2:11 p.m., Licensed Nurse #70 reviewed the MAR. She stated she could not determine if the prn [MEDICATION NAME] was administered 12 or 13 times due to the handwriting, Maybe twice on 04/07/17, not sure. She looked at the back of the MAR and commented, Oh, they aren't writing it on the back. She acknowledged there was no behavior monitoring form. 2. Review of physician's orders [REDACTED]. The listed [DIAGNOSES REDACTED]. According to the (YEAR) Nursing Drug Handbook, [MEDICATION NAME] is used to treat [MEDICAL CONDITION] and [MEDICAL CONDITION] disorder. Behaviors is not a recognized [DIAGNOSES REDACTED].	2020-09-01