cms_SC: 8212

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
8212 CHESTER NURSING CENTER 425061 1 MEDICAL PARK DRIVE CHESTER SC 29706 2012-05-03 225 L 0 1 WII411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** July 17, 2012 - Ammended to reflect change to original Scope and Severity to J and lowered Scope and Severity to D On the days of the Recertification and Extended survey, based on record reviews, interviews and incident logs, the facility failed to ensure that all alleged violations involving mistreatment, neglect, or abuse, were 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). Application of heat by a licensed staff member to the leg of Resident #11, 1 of 3 residents reviewed for heat treatments, was applied improperly and not monitored resulting in a second degree burn to the resident. The incident was not reported as possible neglect to the State Agency. The findings included: Cross refers to F-226 as it relates to the failure of the facility to follow policy to identify neglect, report allegations of neglect as well as protect residents from further neglect once an allegation was reported. Cross Refers to F-281 as it relates to the failure of the facility Nursing staff to verify the physician's orders [REDACTED]. The failure placed Resident #11 at risk of serious harm. Cross Refers to F-323 as it relates to the failure of the facility to provide necessary care for Resident #11 when a licensed staff member used a microwave to heat a compress and placed the heated compress directly on the resident's leg without using a barrier between the resident's leg and the compress. This action resulted in a second degree burn to the resident's leg. Cross Refers to F-490 as it relates to the failure of the Administrator to ensure the facility was administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. The administrator was aware that a licensed nurse used a microwave to heat a compress and apply it directly to a resident's leg that resulted in a second degree burn and failed to implement corrective action to ensure resident safety. Cross Refers to F-520 as it relates to the failure of the facility to ensure that the Quality Assurance process was utilized to identify, monitor and implement a plan of correction related to an injury that was the result of applying heat to a resident incorrectly. The facility admitted Resident #11 on 11/18/2011 with [DIAGNOSES REDACTED]. Review of the Physician's Telephone Orders (TO) revealed that Resident #11 had a TO (telephone order) dated 3/11/12 for Heat to knee and a clarification order on 3/11/12 for heat to knee q (every) shift. On 3/27/12 a new TO was written to D/C (discontinue) heat to left knee and orders were given for a treatment to the knee. Review of the facility's Event Report indicated that on 3/27/12 at 10:30 AM the nurse was called to resident's room by (CNA), observed red area with two intact blisters to lt (left) knee. Also on mattress beside resident was a biohazard bag with two washclothes (sic) inside and a pillowcase covering it. Resident currently has tx (treatment) of heat to lt knee q (every) shift. Called 11p-7a nurse on duty last night, ask her how she did heat tx. to resident's knee. She stated 'I wet two washclothes (sic), put them in microwave for 2 minutes then put inside a biohazard bag and wrapped a pillowcase around it and laid it on resident's knee'. On 5/2/2012 at 9:05 AM, during an interview with the Assistant Director of Nursing (ADON), she stated the incident had not been reported because the injury was not of unknown origin and the facility did not feel like the nurse intended to cause harm to the resident. On 5/3/2012 at 10:30 AM, the Administrator, Director of Nursing and the Assistant Director of Nursing were notified that Substandard Quality of Care and/or Immediate Jeopardy were identified. The Substandard Quality of Care and/or Immediate Jeopardy existed in the facility on 3/27/2012 when Resident #11 received a burn from a heat treatment, which was executed and applied incorrectly. Documentation of inservices, observations, and interviews revealed the Allegation of Compliance submitted by the facility on 5/3/2012 had been implemented by the facility and was in practice removing the immediacy of the deficient practice. Facility nursing staff had been educated and was knowledgeable of abuse policies and procedures and the proper use of heat treatments. The Administrator was informed of this on 5/3/12. The citation at F-225 remained at a lower scope and severity of D. 2016-06-01