cms_SC: 8263

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
8263 HEARTLAND HEALTH AND REHABILITATION CARE CENTER-HA 425289 1800 EAGLE LANDING BLVD HANAHAN SC 29406 2016-03-02 252 D 0 1 3A0811 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record reviews and interviews the facility failed to maintain a satisfactory environment for 1 of 1 resident sampled for a safe, clean, comfortable and homelike environment. The findings include: On 3/1/16 at approximately 2:28 PM a visit to the room of Resident #81 revealed a urine-like odor upon entry into the room, but lessened when near the area next to the window where Resident #81 was sleeping. Resident #81 was admitted to the facility and had a BIMS (Brief Interview for Mental Status) of 3 (0-7 = severe impairment) and had [DIAGNOSES REDACTED]. On 3/1/16 at approximately 3:09 PM a second visit to the room of Resident #81 revealed that a strong urine-like odor was originating from the area at/near the bed of Resident #146 which is located next to the door. In addition there were numerous (estimated 30 - 40) stuffed animals on the floor surrounding the bed. On 3/1/16 at approximately 3:17 PM CNA (Certified Nursing Assistant) # 1 and LPN (Licensed Practical Nurse) # 2 went with the Surveyor to the room of Resident #81. CNA # 1 stated that it did not smell good and that there was a strong urine-like odor originating near the bed of Resident #146. LPN # 2 stated that the room had been deep cleaned approximately 2 weeks ago. On 3/1/16 at approximately 3:37 PM the Surveyor informed the Administrator of the findings. The Administrator acknowledged awareness of odors and hoarding by Resident #146 and proceeded to investigate. On 03/1/16 at approximately 5:43 PM the Facility Regional Director stated that the bed of Resident #146 had been stripped, mattress changed and that stuffed animals were being evaluated. On 3/2/16 at approximately 9:20 AM a review of the Medical Record for Resident #146 revealed the following: Admission records from EMS and hospital referred to hoarding and insect infestation No reference by the Facility related to odors or hoarding ADL (Activities of Daily Living) self care deficit as evidenced by needs staff assistance with all ADLs related to weakness, morbid obesity, cognitive deficit; Assist with daily hygiene, grooming, dressing, oral care and eating as needed Supervision with bed mobility, transfers eating and toileting Resistive/non compliant with treatment/care. Allow for flexibility in ADL routine to accommodate mood, preference and customary routine; If resists care leave (if safe to do so) and return later Tasks include ADL Assist: Supervision with bed mobility, eating and toileting, extensive assist with dressing, hygiene and bathing Briefs: bariatric Shower/Bath - Tuesday/Friday evening On 3/2/16 at approximately 10:05 AM the Administrator stated that urine soaked garments had been found under the mattress, pillow and in the bathroom of Resident #146. On 3/2/16 at approximately 10:24 AM a review of room changes provided by the Administrator showed that Resident #146 had been moved into the room on 5/16/14 and Resident #81 had been moved into the same room on 12/21/15. On 3/02/16 at approximately 11:45 AM during an interview, CNA # 2 stated that limited assistance is given to Resident #146 when s/he asks because s/he has an attitude about receiving care. CNA # 2 stated that s/he had noticed odors yesterday and at other times in the past and that it is common knowledge among the staff that there are odors and that Resident #146 oftentimes refuses care. 2016-06-01