cms_SC: 8195

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

rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
8195 CHERAW HEALTHCARE 425005 400 MOFFAT ROAD CHERAW SC 29520 2013-06-12 281 D 1 0 YGJV11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the complaint inspection, based on interviews, record reviews and facility policy review, the facility failed to provide the correct insulin coverage for 1 of 4 residents reviewed for insulin administration. Resident #1 did not receive the correct insulin coverage for 3 elevated blood sugar readings during the month of February 2013. The findings included: Resident #1 was admitted to the facility with [DIAGNOSES REDACTED]. A review of the quarterly assessment dated [DATE] revealed that Resident #1 was coded as having a short-term and long-term memory problems with severely impaired cognitive skill for daily decision-making. The MDS (material data set) also coded the resident as needing a one-person assist for ADL (activity of daily living) care. The resident height was documented at 59 inches with a weight of 106 pounds. A review of the closed record on 6/12/13 at 9:15 AM revealed that Resident #1 received sliding scale [MEDICATION NAME] for blood sugars beyond the parameters set by the physician. The physicians order for the sliding scale parameters were as follows: for blood sugars above 200 milligrams/deciliter (mg/dl) give 2 units of [MEDICATION NAME]; above 250 mg/dl give 4 units of [MEDICATION NAME]; above 300 mg/dl give 6 units of [MEDICATION NAME]; above 350 mg/dl 8 units of [MEDICATION NAME]; above 400 mg/dl give 10 units of [MEDICATION NAME]. A review of the MAR (medication administration record) for February 2013 revealed blood glucose readings with incorrect insulin coverage based on the physicians orders: 2/11/13 at 9 PM blood glucose level=362, the resident received 6 units of [MEDICATION NAME] 2/12/13 at 9 PM blood glucose level=377, the resident received 6 units of [MEDICATION NAME] 2/16/13 at 9 PM blood glucose level=377, the resident received 6 units of [MEDICATION NAME] The blood glucose levels were above the 350 mg/dl level and the resident should have received 8 units of [MEDICATION NAME] instead of the 6 units received. A review of the facility's policy for standing orders, provided by the DON (director of nursing) states, Follow sliding scale as ordered for blood sugars and was signed by the physician. A review of the Physician Notification Parameters, provided by the DON read -below 50 mg give [MEDICATION NAME] per protocol; above 250 follow sliding scale order, if MD ordered. An interview with the DON on 6/12/13 at 2:00 PM revealed that the nurses are expected to follow the parameters ordered by the physician when administering sliding scale insulin. If a resident is getting scheduled insulin there are no parameters, unless ordered by the physician. The nurses would track the blood sugar levels and call the physician if there was a problem/pattern or if the resident had a very high blood sugar then they would notify the physician. 2016-06-01