cms_SC: 8202

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
8202 FAITH HEALTHCARE CENTER 425009 617 WEST MARION STREET FLORENCE SC 29501 2012-08-22 314 E 0 1 RTYQ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on record review and observation, the facility failed to ensure that residents having pressure ulcers received necessary treatment and services to promote healing for 2 of 5 residents reviewed for pressure ulcers (#2 and #15). Resident #2 had the wrong treatment to his wound on 8/21/12. Resident #15 showed signs of decline in his wound that were not communicated to his physician for possible change of treatment. The findings included: Resident #2 entered the facility with a pressure ulcer on his upper left back, over the scapula. Licensed Practical Nurse (LPN) #2 did wound care to the ulcer on 8/21/12 at approximately 3:30 PM. She was assisted by the RN Unit Manager. LPN #2 stated the treatment included cleansing the pressure ulcer with wound cleanser, applying Hydrogel, and then covering the area with [MEDICATION NAME] dressing. The Unit Manager left the resident's room to check the treatment order and returned saying that was the treatment ordered by the physician. LPN #2 provided the wound care with appropriate technique. Review of the medical record revealed that on 8/7/12, the physician changed the treatment order from Hydrogel once a day to: Cleanse (L) upper back (with) wound cleanser, apply wet to dry dressing BID (twice a day). Review of the Treatment Record for August 2012 showed the treatment ordered on [DATE] was not started until 8/21/12 at 8 PM. Resident #15 arrived at the facility with a pressure ulcer on his left outer ankle, a Stage II. the admitting nurse's note stated it measured 2.5 by 2.5 centimeters (cm) and had yellow drainage. The wound bed had slough and beefy red tissue. Review of the medical record revealed the resident had a number of comorbidities and behaviors that compromised his ability to heal. Review of the Nurse's Notes (NN) and Wound Management Program Weekly Wound Documentation (WWD) revealed the following information: NN, 6/13/12, left ankle, Stage II, 2 by 2.4 cm with slough around the edges and 100% granulation wound bed tissue. The nurse notified the physician who ordered treatment with Santyl to the slough and Hydrogel to the wound bed covered with [MEDICATION NAME] dressing daily. NN, 6/27/12, left ankle 2 by 2.3 cm with little slough noted and no odor. WWD, 7/12/12, the wound measured 2 by 1.6 by WWD, 7/18/12, the wound was not assessed due to the resident's one day hospitalization for a surgical procedure for [MEDICAL TREATMENT] in the right arm. WWD, 7/26/12, the wound measured 2.5 by 2.0 by WWD, 7/25/12, the wound measured 3 by 2 by 0 cm. It was now 80% granulation with 20% slough tissue. A large amount of creamy beige drainage was noted. There was no odor. The resident was noted to have a faint pedal pulse. NN, 8/1/12, left ankle 2.5 by 1.5 cm with moderate amount of drainage. Review of the medical record failed to show that the facility consulted with the resident's physician since 6/13/12 about the condition of the pressure ulcer. The data in the WWD showed increased drainage from small amount to large amount, and a change in the drainage quality to creamy beige. An interview with the Director of Nurses (DON) and the Skilled Unit Manager (UM)on 8/22/12 at 11:45 AM revealed the resident arrived at the facility with beige drainage. His ulcer was superficial, had no odor, and did not show any signs of infection. Therefore, there was no reason to notify the physician. The resident was admitted to the hospital on [DATE] with coffee grounds emesis, an infected wound of the right forearm, and an infected left foot wound. When he returned to the facility on [DATE] the pressure ulcer measured 11 by 10.8 by During the interview with the DON and UM, they stated the wound had been debrided at the hospital resulting in the increased size of the open area. 2016-06-01