cms_SC: 80
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 80 | FAITH HEALTHCARE CENTER | 425009 | 617 WEST MARION STREET | FLORENCE | SC | 29501 | 2017-06-14 | 520 | J | 0 | 1 | J20Y11 | The facility failed to identify quality deficiencies and develop and implement plans of action to correct the quality deficiencies. This includes monitoring the effect of implemented changes and making needed revisions to action plans. This involved accident hazards regarding positioning of residents during meals which resulted in Immediate Jeopardy and Substandard Quality of Care. In addition, lack of dental service, pressure ulcer wound tracking, housekeeping and maintenance and lack of the required 8 hours coverage of an Registered Nurse in the building 7 days a week. Findings include: During the survey from 4/10/2017 through 4/13/2017 care area concerns were noted in the provision of care for the residents by the facility in the areas of accident hazards regarding positioning of residents during meals, lack of dental services, pressure ulcer wound tracking, housekeeping and maintenance, and lack of the required coverage of a Registered Nurse in the building for 8 hours every day. An interview was conducted with the Administrator Staff #23 on 4/13/2017 at 9:05 AM. This surveyor shared with the Administrator the noted concerns in the areas of accident hazards regarding positioning of residents during meals, dental services, pressure ulcer wound tracking, housekeeping and maintenance, and lack of the required coverage of a Registered Nurse in the building for 8 hours every day. She stated their Quality Assurance team meets monthly and none of these care area concerns had been identified in any of their meetings. In the area of accidents hazards the Administrator verified the Quality Assurance team had not identified any concerns with residents not being positioned in bed while feeding themselves in a manner to prevent potential choking and aspiration. Refer to F323. She stated during a meeting a few months ago they had discussed concerns with personalized care plans and updating care plans in the facility but this was after it was brought to their attention in a recent complaint survey. She was not able to produce any documentation to address how they were correcting the care plan concerns identified back in (MONTH) (YEAR). She stated they currently have an Interim Director of Nursing and she is not able to produce a lot of the documentation and monitoring being requested because she is not sure where the previous DON has put things. She stated the previous DON left the faciity on in (MONTH) (YEAR). The Administrator later provided this surveyor with a copy of a Performance Improvement Plan (PIP) for Pressure ulcers dated 2/10/2017. This document revealed the facility had identified a concern with wounds not being staged correctly, residents not being turned timely, wound sheets not being filled out correctly and wound measurements not being done correctly. The action plan indicated the facility would hire a new wound nurse, they would establish a facility wide turn schedule, staff education would be provided on wounds and the Director of Nursing/Wound Care Nurse and Unit Managers were to monitor for turn schedules, skin sheets and frequent incontinence care to residents. The facility was not able to produce any education that had been provided to the staff, nor documentation on any monitoring conducted as stated on the action plan and they did not currently have a wound nurse. The Administrator was not able to produce any further meeting minutes from this PIP to address the progress of the corrective action in this area. Refer to F314. In the area of Dental services that Resident Council meeting minutes had identified in January, (MONTH) and (MONTH) (YEAR) the residents complained about the lack of dental services and several residents were requesting to be able to see the dentist. The Administrator was not aware of this concern and the Quality Assurance team had not addressed the ongoing lack of dental services for residents in the facility. Refer to F244 and F312. In the area of Housekeeping and Maintenance she verified there was not plan in place to address any of the observed findings identified during the survey from 4/10/2017 through 4/13/2017. Refer to F253. She also verified the lack of Registered Nurse coverage and stated this had not been addressed through their current Quality Assurance process. Refer to F354. On 04/11/17 at 2:10 PM, Corporate Nurse Staff #134, Regulation Specialist Staff #135, and Director of Nursing Staff #136 were notified that Immediate Jeopardy (IJ) began on 04/11/17 at 12:47 PM when Resident #6 was observed lying slouched down in her bed on her right side and began choking while feeding herself lunch after repeated requests from the resident to be placed in a position so she could feed herself safely. The facility's Allegation of Compliance (A[NAME]) was received on 04/11/17 at 6:22 PM. The A[NAME] included: 1. Affected resident has been assessed by Speech Therapy and staff educated on proper positioning during meals. 2. Education provided to floor staff regarding proper positioning of residents who eat in bed by speech therapy and nursing management prior to dinner meal on 04/11/17. 3. DON (Director of Nursing) or designee to visually check on residents during meal times to ensure proper positioning in bed at each meal x 7 days. 4. Speech Therapy will screen residents noted to have any difficulties with swallowing as reported by nursing on therapy referral form. 5. Residents noted for speech therapy screen will be reviewed in Q[NAME] (Quality of Care) meeting weekly beginning immediately. 6. Speech therapy to provide DON with copy of recommendations for processing to current orders or Kardex. 7. Staff that did not attend initial education on 04/11/17 will be educated on proper positioning and aspiration precautions before working the floor. The survey team made observations, record review and interview to ensure the facility had implemented their A[NAME]. The Immediate Jeopardy at F520 was removed on 4/13/2017, but the citation remained at a lowered scope and severity of F. | 2020-09-01 |