cms_SC: 8261

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
8261 HEARTLAND HEALTH AND REHABILITATION CARE CENTER-HA 425289 1800 EAGLE LANDING BLVD HANAHAN SC 29406 2016-03-02 241 E 0 1 3A0811 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations and interviews, the facility failed to ensure staff knocked on residents doors prior to entering rooms, residents were covered after receiving treatments and each resident requiring assistance with eating were fed while seated at the table with other residents being fed. One of 2 sampled residents reviewed for dignity, 1 of 2 dining rooms observed, 1 of 2 units observed. The findings included: The facility admitted Resident #7 with [DIAGNOSES REDACTED]. During Stage I interview on 2/29/16 at approximately 11:15 AM, Resident #7 was being interviewed in his/her room with the door closed. One Certified Nursing Aide (CNA) knocked on the door once then peeped his/her head in the room without permission and closed the door. A few minutes later, another Certified Nursing Aide opened the door and entered the room without knocking. Resident #7 stated they do that all the time, after the second CNA entered the room without knocking. During random lunch meal observation on 2/29/16 at approximately 11:58 AM multiple residents were seated in the dining room. Two long tables were positioned vertically in the dining room as you entered and smaller tables were positioned around walls on each side of the dining room. The residents seated at the long tables were served and eating while the residents seated at the smaller tables were not served. At approximately 12:14 PM two tables with two residents noted with one staff member at each table feeding one resident while the other resident seated at the same table was not being fed or eating. Further observations revealed four staff members feeding residents without engaging in conversations with the resident. A random observation of lunch meals being delivered on the unit on 2/29/16 at approximately 1:03 PM revealed staff entering residents rooms without knocking. A random observation of breakfast delivery on 3/01/16 at approximately 9:07 AM revealed staff entering Rooms 305, 307 and 308 without knocking. An interview on 3/01/16 at approximately 9:08 AM with Certified Nursing Aide (CNA) #2 confirmed he/she was entering multiple residents rooms without knocking. CNA #2 further stated the CNAs do not have to knock on doors if the resident's door was opened because the resident can see them. A random lunch meal observation on 3/01/16 at approximately 12:03 PM two tables with two residents noted with one staff member at each table feeding one resident while the other resident seated at the same table not being fed or eating. Further observations revealed the staff members were feeding the residents without engaging in conversation with the resident. The residents that required assistance with eating were positioned around the walls while the resident who could feed themselves were seated at the long tables and eating independently or with assistance of staff. Observations were confirmed by the facility Administrator and a Facility Consultant. The facility admitted Resident #164 with [DIAGNOSES REDACTED]. An observation on 3/2/2016 at approximately 9:44 AM during a pressure ulcer treatment for [REDACTED].#164's bed. A staff member knocked on the door, and came over to the resident's bedside while the dressings were being changed on his/her coccyx. During further observation of wound care on 3/2/2016 at approximately 9:44 AM Licensed Practical Nurse (LPN) #1 and the Certified Nursing Assistant (CNA) left Resident #164 uncovered and exposed while they went to the bathroom to wash their hands. During an interview on 3/2/2016 at approximately 9:44 AM with Licensed Practical Nurse (LPN) #1 he/she confirmed that the privacy curtain was not pulled a round Resident #164's bed during a dressing change to a pressure ulcer. LPN #1 stated, the privacy curtain should have been pulled and I should have asked the staff member to wait until the dressing was changed and the resident was covered. The LPN went on to confirm that Resident #164 was left exposed while he/she and the CNA assisting went to the bathroom to wash their hands. 2016-06-01