cms_SC: 8231

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
8231 WINDSOR MANOR 425114 5583 SUMMERTON HIGHWAY MANNING SC 29102 2013-06-06 272 E 1 0 43K911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on record review, interview and review of the facility provided policy for restraints, the facility failed to accurately and timely assess Resident # 51 related to the the use of restraints. (1 of 4 sampled residents reviewed for fall assessments and 1 of 3 sampled residents reviewed for restraint assessments) The findings included: Resident # 51 was admitted on [DATE]. A siderail assessment was completed on 12/18/12 for the resident who had a known history of falls and behaviors. The siderail assessment deemed the resident required the use of siderails for turning and positioning. It also documented the resident was at great risk for falls from the bed, required assistance to turn and move and the resident was unable to use the call system. On 12/19/12 a order was received for a low bed as the resident was unsafely crawling over the siderails. A new assessment was not completed. On 3/27/13, the siderails were reassessed and the assessment stated quarterly review- no changes. However, the siderails had been discontinued once the low bed was put in place on 12/20/12. The inaccurate assessment was verified by the Minimum Data Set Coordinator (MDS) on 6/6/13 who stated, I missed it. On 6/5/13 at 1:41 PM, during an interview with the MDS Coordinator, s/he stated that restraint assessments are only completed for comprehensive assessments by him/her. S/he was unsure as to who completed the quarterly assessments. However, no restraint assessment for any device documented as having been used was located in the medical record. On 6/5/13 at 1:58 PM, the MDS Coordinator stated no assessment was located and the chart has not been thinned. At approximately 4:40 PM, assorted pages from a thinned record were located in a file cabinet but did not include any assessments related to the use of restraints including a gerichair with a table, broda chair, lap belt, soft waist restraint, abdominal binder or leg restraint. One assessment form with the resident's name was located but was incomplete except for the resident's name. The facility provided policy related to restraints documented : The need for restraints will be evaluated at least quarterly to determine their continued need. The physical restraint assessment form stated: This assessment is to be completed anytime a comprehensive reassessment requiring RSP review is conducted or an order for [REDACTED].>. : . 2016-06-01