cms_SC: 8224
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 8224 |
CHESTER NURSING CENTER |
425061 |
1 MEDICAL PARK DRIVE |
CHESTER |
SC |
29706 |
2012-05-03 |
520 |
L |
0 |
1 |
WII411 |
July 17, 2012 - Ammended to reflect changes to the original Scope and Severity to K and lowered Scope and Severity to E. On the days of the Recertification and Extended survey, based on record reviews and interviews, the facility failed to develop, implement and monitor an action plan for identified concerns related to a nurse placing a hot compress in a microwave, placing it on a resident's skin without monitoring progression of the treatment and resulting in a second degree burn to the resident. The injury noted on 3/27/12 and no review of current policy or re-education was provided to nursing staff to prevent further injuries related to heat treatments. The facility staff failed to recognize verbal abuse and failed to act to protect the resident at the time the abuse took place. In addition, the facility failed to have any policies on using paid sitters in the facility and were unaware of sitters currently working in the facility at the time of survey. The findings included: Cross Refers to F-223 as it relates to the facility's failure to recognize verbal abuse, protect the resident abused, and have policies in place for paid sitters in the facility. Cross Refers to F-225 as it relates to the facility's failure to report an allegation of neglect to the State survey and certification agency. Cross Refers to F-226 as it relates to the facility's failure to ensure that staff was adequately trained to define, recognize and report allegations of abuse/neglect. Cross Refers to F-281 as it relates to the facility's failure to ensure that the licensed staff received adequate training to request clarification orders on applying a warm compress treatment and the monitoring of the treatment to prevent injury. Cross Refers to F-323 as it relates to the facility failure to prevent accidents and hazards for a resident that was burned during a warm compress treatment. Cross Refers to F-490 as it relates to the failure of the facility's Administration to provide the necessary oversight to ensure policies and procedures related to applying a warm compress was implemented properly. The Administration was aware of the resident's injury due to inadequate treatment since 3/27/12. An interview on 5/02/12 at approximately 12:10 PM with the Administrator revealed no in-services were provided related to the nurse's failure to get a clarification order in applying a heating treatment and monitoring the treatment. The Administrator stated no in-services/re-education was provided to the nursing staff after the 3/27/12 burn incident because it was an isolated incident. The Administrator acknowledged no Performance Improvement Plan was put in place after the incident. In addition, Administration was not aware paid sitters were operating in the building and the facility had no policies in place to ensure sitters were aware of facility policies and procedures. On 5/2/12 at 10:30 AM, the Administrator and the Director of Nursing were notified that Substandard Quality of Care and/or Immediate Jeopardy was identified. The Substandard Quality of Care and/or Immediate Jeopardy existed in the facility on 3/27/2012 when Resident #11 was found with a burn from a heat treatment which was executed and applied incorrectly. On 5/02/12 at 1:55 PM, the facility was notified that a second Immediate Jeopardy/Substandard Quality of Care had been identified. The Jeopardy existed on 5/01/12 when a routine visitor at the facility was observed standing over, yelling and pointing his finger at a resident without any facility staff intervening to protect the resident from further abuse. Interviews with licensed nurses, certified nursing assistants, admissions staff, activity staff and other facility staff revealed the visitor talked loud all the time. The three certified nursing assistants and licensed nurse on the unit at the time of the incident stated the visitor generally talked loud and they did not think any thing was wrong. The investigation of the incident found the alleged perpetrator was not a visitor but a sitter for the roommate of the resident allegedly abused. The facility staff were not aware the visitor had been employed by a resident's family and was in the building for that purpose. 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 were 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-520 remained at a lower scope and severity of E. |
2016-06-01 |