cms_SC: 8134
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.
This data as json, copyable
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 8134 |
MAGNOLIA MANOR - ROCK HILL |
425165 |
127 MURRAH DR |
ROCK HILL |
SC |
29732 |
2012-09-26 |
225 |
D |
0 |
1 |
FLD711 |
On the days of the survey, based on record review, interviews and review of the facility's policy entitled What You Need To Know Abuse Prohibition, the facility failed to ensure that all alleged violations involving mistreatment, neglect, or abuse, including injuries of unknown source and misappropriation of resident property are reported immediately to the administrator of the facility and to other officials in accordance with State law through established procedures (including to the State survey and certification agency). The facility failed to Investigate and report 4 bruises located on Resident #11's thigh, 1 of 11 resident's reviewed for injuries of unknown origin. The findings included: On 9/24/12 at 1:45 PM, review of the medical record for Resident #11 revealed that on 7/4/11 at 2:00 PM a Certified Nursing Assistant (CNA) reported that the resident had 4 bruises to the right inner thigh, which was noted in the resident's Nurse's Notes. The resident's Weekly Skin Documentation forms dated 6/28/12 through 7/19/12 contained no documentation of bruises on the resident's right inner thigh. On 7/5/12 a note stated that the bruises were consistent with positioning during peri care and at times the resident does resist care. The resident's cognitive status was documented as 112 on 2/2/12 and a BIMS of 7 was documented on 7/6/12 on the resident's Minimum Data Set (MDS). Review of the resident's behavior documentation indicated that in July and August of 2012 the resident displayed no behaviors. The Care Plans for Resident #11 for significant memory loss dated 2/22/12 revealed that the resident will occasionally refuse a shower or change of clothes. The care plan was updated on 4/24/12 to state that the resident no longer refuses this. The care plan for assistance with ADLS, (Activities Of Daily Living) dated 2/22/12 and updated on 5/3/12, did not indicate resistance to care. The facility's Patient/Resident Incident/Accident Investigation Worksheet, provided by the Director of Nursing (DON) indicated that the DON had determined the bruises were from positioning during care. On 9/26/12 at 8:45 AM, during an interview with the DON, the DON stated that the incident was not investigated because the resident has a history of refusing care and felt like the bruises happened during incontinent care. The care plans, skin sheets and behavior sheets were reviewed with the DON. The DON did not disagree with the documentation indicating that the resident had no documentation of behaviors of resisting care. The DON stated that if the resident was resisting care, the staff should have let the resident calm down and approached the resident at a later time and should have used the palm of their hands to separate/hold the resident's legs during peri-care, not the fingers Review of the facility's policy entitled What You Need To Know Abuse Prohibition, revealed .Component VI: Investigation 1. The facility maintains that all allegations of abuse .are thoroughly investigated and appropriate actions are taken. 4. The investigations may include but is not limited to the following . A. Identification and removal of alleged perpetrator(s) .C. Type of alleged abuse. D. Where and when the incident occurred .G. Measures to prevent future incidents . |
2016-07-01 |