cms_SC: 8255

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.

Data source: Big Local News · About: big-local-datasette

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
8255	FLORENCE REHAB & NURSING CENTER	425163	133 WEST CLARKE ROAD	FLORENCE	SC	29501	2013-06-06	271	D	1	0	ZP2D11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On the day of the Complaint Inspection, based on record review and review of the facility's policy entitled [MEDICAL CONDITION], BILEVEL AND NPPV (Continuous Positive Airway Pressure, Bilevel Positive Airway Pressure or [MEDICAL CONDITION] and Non Invasive Positive Pressure Ventilation), the facility failed to obtain an admission order and/or prescription for [MEDICAL CONDITION], including the settings, for Resident #4, 1 of 2 residents reviewed with a [MEDICAL CONDITION] or [MEDICAL CONDITION]. The findings included: The facility admitted Resident #4 with [DIAGNOSES REDACTED]. On 6/6/13 at 3:02 PM, review of the Discharge Summary from the hospital revealed the statement S/he is to wear the [MEDICAL CONDITION] if s/he gets in trouble in the daytime. The summary also stated s/he had been ordered for [MEDICAL CONDITION] and the settings of it. The settings were not listed on the discharge summary. Review of the Physicians Orders and Telephone Orders on 6/6/13 at 3:42 PM revealed there were no orders written for administration of the [MEDICAL CONDITION] or the settings. On 6/6/13 at 3:37 PM, review of the admission care plan dated 3/20/13 revealed Potential for Resp (Respiratory) Complications Related to [MEDICAL CONDITION] and [MEDICAL CONDITION] Fibrosis and being Oxygen (O2) dependent was identified as a problem area. Interventions and approaches included give oxygen as ordered; elevate HOB (head of bed); assess for wheezing, SOB (shortness of breath), congestion; break tasks down into small segments; encourage rest periods; serve diet as ordered; vital signs routinely or as ordered; and O2 SATS (saturations) every shift. The care plan did not include any interventions related to the [MEDICAL CONDITION]. Review of the facility's policy, [MEDICAL CONDITION], BILEVEL AND NPPV, revealed Admission Criteria .2. A prescription for the device with the settings. The policy further stated Physician Responsibilities .3. Provide a written, signed physician's prescription . On 6/6/13 at approximately 6:30 PM, The Director of Nursing provided the surveyor with a copy of an in-service conducted on 2/25/13 that included Review of the Bi-Pap procedure and a copy of the facility's policy was attached.	2016-06-01