cms_SC: 8208

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
8208	WHITE OAK MANOR - SPARTANBURG	425024	295 EAST PEARL STREET	SPARTANBURG	SC	29303	2012-05-16	224	D	0	1	YFIO11	On the days of the survey, based on observations, interviews and review of the Resident Council Minutes, the facility failed to meet the needs of a resident timely as evidenced during a random observation of neglect when a resident requested the facility staff to toilet her. Three of 7 residents in a group interview, monthly Resident Council Minutes, and this random observation made during the survey, indicated there was a concern with a delay in response to meet resident needs, timely. The findings included: A random observation on 5/15/12 at approximately 3:25 PM on Unit 1 revealed a resident seated in a reclined chair near the nurse's station with two licensed nurses and 2 CNA's standing or seated around the nurse's station. The resident seated in the reclined chair stated, I need to go to the bathroom. No staff member positioned at the nurse's station responded to the resident. The resident in the reclined chair repeated the statement, I need to go to the bathroom. The facility staff at the desk continued to work without acknowledging the resident's request or that the resident had spoken. The surveyor informed Licensed Practical Nurse (LPN) #1 at the desk that the resident stated she needed to go to the bathroom. LPN #1 asked the resident what she said and the resident repeated, I need to go to the bathroom. LPN #1 asked a Certified Nursing Assistant (CNA), also at the nurse's station, to assist the resident. The CNA walked past the resident, down the hall, then returned after a short period of time. The CNA then took the resident to her room and returned to the nurse's station after a brief period of time. At that time the CNA that was asked by LPN#1 to assist the resident with her request of toileting was observed going down a different hallway away from the resident's room. This surveyor again approached LPN #1 and asked if the services requested by the resident had been provided since the CNA that removed the resident was observed leaving the area. LPN #1 stated she would find out. An interview on 5/15/12 at approximately 3:40 PM with LPN #1 revealed the CNA was informed by another facility nurse to find the resident's assigned CNA to provide the care. LPN#1 stated she would assist the CNA originally approached in providing care to the resident. An interview on 5/15/12 at approximately 3:45 PM with Registered Nurse (RN) #1 revealed her process/procedure was to let the assigned CNA provide resident care and if the assigned CNA was not available the CNA present would provide the care. Neglect means failure to provide goods and services necessary to avoid physical harm or mental anguish. (42 CFR 488.301) On 5/15/12 at approximately 11 AM Review of the Resident Council Minutes for 1/10/12 under New Business there was notation that the residents reported call lights were not being answered. Review of the Resident Council Minutes for 2/14/12 under New Business the residents reported: They are waiting longer for call lights to be answered especially during lunch and dinner. Review of the Resident Council Minutes for 3/13/12 revealed no New Business was discussed. Review of the Resident Council Minutes for 4/10/12 revealed under New Business an area of concern call lights being turned off prior to need being met. Review of the Resident Council Minutes for 5/09/12 revealed under Old Business call lights being answered timely and resident indicated that call lights are better. On 5/16/12 at approximately 1:45 PM during group interview 3 of 7 group members stated that they still have concerns related to the staff response to call light. One group member stated she has to wait a long time for the staff to respond to call lights just before lunch. One group member stated on weekends they have to wait a long time for the staff to respond to call lights. One group member stated the biggest concern was that the staff would tell residents that you have to wait for the Certified Nursing Assistant (CNA) assigned before needs could get met. The residents further stated that staff continued to turn the call lights off before needs are met and tell the residents they will inform the assigned CNA. The residents stated that sometimes no one would return provide the care. The group member further stated that they addressed their concerns with the facility's administrative staff.	2016-06-01