cms_SC: 8209

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
8209 WHITE OAK MANOR - SPARTANBURG 425024 295 EAST PEARL STREET SPARTANBURG SC 29303 2012-05-16 250 D 0 1 YFIO11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on record review and interview, the facility failed to provide medically related social services for a resident with an uncertain discharge. Resident #25 was noted with inconsistent documentation for discharge planning. (1 of 3 closed charts reviewed) The finding included: The facility admitted Resident #25 on 3/12/12 with [DIAGNOSES REDACTED]. Record review revealed an Admission MDS (Minimum Data Set) dated 3/19/12 that indicated the resident had short and long term memory problem with cognitive impairments. Review the care plan with an identified problem date of 3/21/12 indicated the resident discharge plan was uncertain at that time but resident may remain in facility long term care related to dementia. Review of an Admissions Coordinator note dated 3/12/12 indicated spouse and other members of the family hoped for resident to return to the home environment. A Social Services note dated 3/20/12 indicated resident was new admission to facility with uncertain discharge plan. The Social Services note further indicated the resident had Dementia and was not aware of his circumstance. A Social Services note dated 3/27/12 indicated resident had problems related to uncertain discharge date . A care plan with an identified problem date of 4/08/12 indicated the resident required use of restraints related to unassisted transfer attempted/poor safety awareness. A Social Services note dated 4/10/12 indicated resident had problem with uncertain discharge date and Dementia. The Social Services note further indicated the resident had Dementia and was not aware of his circumstance. A Social Services noted dated 4/24/12 indicated the resident had problems with an uncertain discharge. There were no further Social Services notes related to discharge planning. A Licensed Nurse note dated 4/27/12 indicated the resident was to go to an Assistive Living Facility on Monday (4/30/12). An interview on 5/16/12 at approximately 10:30 AM with the Social Services Director (SSD) revealed after reviewing the medical record that 3/20/12 was the first noted documentation related to discharge. The SSD further stated she will check and see if there was further Social Services documentation related to discharge planning prior to 3/20/12. On 5/16/12 at approximately 11:30 AM the Administrator indicated there were no prior Social Services notes related to discharge planning. There was no documented social services notes to assure the resident's needs were met post discharge. Although information was provided of a synopsis of ongoing meetings with the family concerning the resident's stay, insurance coverage, alternative discharge options, there was no evidence of documentation in the social service notes of her knowledge of this process, family/resident support and the ultimate discharge from the facility. 2016-06-01