cms_SC: 78

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
78	FAITH HEALTHCARE CENTER	425009	617 WEST MARION STREET	FLORENCE	SC	29501	2017-06-14	412	D	0	1	J20Y11	Based on observation, interview and record review it was determined the facility failed to ensure two (#s 34, 23) of three residents reviewed for dental services received routine dental services. Failure to offer dental services and assist residents with locating a dentist, obtaining appointments and arranging for transportation placed residents at risk for unmet dental needs. Findings include: In an interview on 04/10/17 at 12:05 p.m., Resident #34 stated he had no teeth and would like to see a dentist to obtain dentures. He stated he did not like an altered texture diet and so received a regular diet, at his request, which could sometimes be difficult to chew. He stated the facility had not offered to assist him in locating a dentist or arranging an appointment for dental services. Observation of the resident at this time revealed the resident had no teeth, nor dentures. The Nutrition Risk Assessment, dated 11/23/13, and reviewed on 04/11/17 at 12:58 p.m., identified the resident as edentulous (without teeth). The Annual Minimum Data Set (MDS) assessment, dated 10/06/16, reviewed on 04/13/17 at 8:58 a.m. identified the resident was edentulous. The Care Area Assessment identified the Resident is edentulous. He is impaired physically on his right side due to a stroke. He will need to be assisted with oral care by staff to prevent ulcers of his mouth. Care plan will be developed to prevent ulcers for the resident to receive oral care. There was no indication the offer of a dental visit for dentures was considered or made. In an interview on 04/11/17 at 6:10 p.m., Social Services Staff #27 explained the wheelchair lift in the facility's van had been broken for an extended period of time. She stated the facility arranged with a local transportation company to take residents who required the use of a wheelchair to the dentist, however they did not return at the end of appointments promptly and so the dentist wanted them to remain with the resident. The transportation company refused and so the dentist would no longer see the residents. In an interview on 04/12/17 at 8:14 a.m., Social Services Staff #27 was asked if Resident #34 had been seen by a dentist, or offered and refused, since admission in 2013. She stated she was not sure if that had occurred and that she would check. As of 04/13/17 at 11:00 a.m., no further information was provided. 2. Observation on 04/10/17 at 11:49 a.m. revealed Resident #23 appeared to have some missing and broken teeth. He had white debris / build-up along his lower gum. The resident was unable to respond to any questions due to cognitive loss. Record Review, conducted on 04/11/17 at 8:30 a.m., revealed the resident admitted to the facility 09/16/15. A Nursing Data Collection Form, dated 03/15/17, identified the resident was missing some teeth. A Dietary Data Collection / Evaluation Nutritional form, dated 09/15/16, revealed the resident had his own teeth, condition / missing. Social Service Progress Reviews, dated 03/15/17, 12/13/16, 09/15/16 and 06/16/16 all indicated Dental care: Provided by facility. Review on 04/12/17 at 5:39 p.m. of the 09/15/16 Annual Minimum Data Set assessment identified the resident had Obvious or likely cavity or broken natural teeth. The associated Care Area Assessment identified the Resident has several missing teeth and very poor dentition. It indicated see care plan. The Care Plan, reviewed on 04/11/17 at 2:53 p.m. identified the resident was At risk for mouth or facial pain related to decaying (cavity) and/or broken natural teeth. One of the identified approaches was for staff to Consult with dentist and follow recommendations. In an interview on 04/12/17 at 8:14 a.m. Social Service Staff #27 was asked if Resident #23 had been seen by a dentist, or offered and refused, since admission. She was unable to provide any evidence the resident was seen or dental services were offered and refused.	2020-09-01