cms_SC: 8227

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
8227 MAGNOLIA MANOR - SPARTANBURG 425091 375 SERPENTINE DRIVE SPARTANBURG SC 29305 2012-04-18 312 E 0 1 KT9K11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on observations, record review and interviews, the facility failed to provide grooming and personal hygiene care for 1 of 1 sampled diabetic residents reviewed for finger nail care concerns and random observations of other residents in need of fingernail care. Resident #8 was observed on 2 days of the survey with long, jagged nails with a black substance under the finger nails. The findings included: The facility admitted Resident #8 on 11/28/11 with [DIAGNOSES REDACTED]. During initial tour on 4/16/12, observation revealed the resident seated in his room with long, jagged finger nails and a dark substance under the finger nails. A later observation on 4/16/12 at approximately 1:35 PM revealed no change had occurred in the condition of the resident's fingernails. An interview on 4/17/12 at approximately 8:48 AM with Licensed Practical Nurse (LPN) #2 revealed the Certified Nursing Aides (CNAs) were responsible for cutting resident finger nails. When asked about who was responsible for cutting diabetic resident finger nails, LPN #2 stated nurses. When asked if there was a finger nail care schedule for diabetic residents, LPN #2 stated there was no schedule. An interview on 4/17/12 at approximately 8:50 AM with the Assistant Director of Nursing (ADON) revealed the CNAs were to keep the nurses informed of residents needing nail care. The ADON then observed and confirmed resident 8's fingernails to be long, jagged with a dark substance under the finger nails. The ADON stated there was no documentation to indicate when Resident #8 last had finger nail and that Resident # 8 sometimes refused finger nail care. There was no documentation to indicate resident refused finger nail care. The ADON then referred this Surveyor to LPN #3 for information related to finger nail care for Resident #8. An interview on 4/17/12 at approximately 9 AM with LPN #3 revealed diabetic residents finger nails are cut as they grow. On 4/16/12, during observation of the evening meal for the residents, a random male resident was noted to be eating (picking up food with his hands) which had long, uneven fingernails with a blackish brown substance under his nails. On 4/17/12 at 11:45 AM, the same male resident was again observed at a table waiting on the lunch meal with his nails remaining long, uneven and the blackish/brown substance remained under his nails. On 4/18/12 at 9:30 AM, during an interview with Certified Nursing Assistants (CNAs) #1 and #2, they were asked how often the resident's have their nails trimmed and cleaned? Both stated on shower days. When asked when this male resident's shower days were, they stated Saturday and Wednesday. The surveyor then asked CNA #1 to look at the resident's nails. Both CNAs examined the resident's hands. CNA #1 stated the resident should have had his nails cleaned and trimmed on Saturday with his shower. When asked how the staff knew they were supposed to groom the nails on shower days, CNA #1 provided the shower schedule for 4/14/12 and 4/18/12. Both schedules had the resident's room number listed on the 7:00 AM to 3:00 PM schedule. The schedule contained documentation which stated Baths-Don't forget nail care. Licensed Practical Nurse (LPN) #1 overheard the conversation and stated that the resident frequently refused care. The surveyor then asked if they documented the refusal. The LPN stated yes. The Nurse's Notes for 4/14/12 and 4/18/12 contained no documentation related to the resident refusing care and was verified by LPN #1. During the Group Interview on 4/17/12 at 2pm, an observation was made regarding a Resident's fingernails which were very long with ragged uneven edges. The Resident stated, I was in the hospital before coming here. I am only here a few weeks. 2016-06-01