cms_SC: 8264

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.

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
8264 HEARTLAND HEALTH AND REHABILITATION CARE CENTER-HA 425289 1800 EAGLE LANDING BLVD HANAHAN SC 29406 2016-03-02 280 D 0 1 3A0811 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on Record review and interview the facility failed to review and revise the Comprehensive Care Plan for Resident #71, 1 of 3 sampled residents reviewed for urinary incontinence. The Comprehensive Care Plan was not reviewed and revised after the resident was assessed as having increased Urinary incontinence. The findings included: The facility admitted resident #71 with [DIAGNOSES REDACTED]. Record review of the Minimum Data Set (MDS) - Version 3.0 on 3/1/2016 at approximately 12:38 PM revealed an Admission MDS dated [DATE] that indicated the resident was not having any urinary incontinence. The MDS also indicated that a trial of a toileting program had not been attempted. Review of the Quarterly MDS, dated [DATE], on 3/1/2016 at approximately 12:38 PM indicated that the resident was always incontinent of the Bladder with no episodes of continent voiding. In addition, the 2/8/2016 MDS indicated that a trial of a toileting program had not been attempted. Both MDS assessments revealed that the resident had a BIMS (Brief Interview for Mental Status) score of 14, indicating the resident was cognitively intact. Record review of the Patient Admission/Readmission Screen dated 10/30/2015 on 3/1/2016 at 3:39 PM revealed that the resident did not have Bladder incontinence. Record review of the Patient Admission/Readmission Screen dated 1/6/2016 on 3/1/2016 at approximately 3:39 PM revealed that the resident did have Bladder incontinence. Review of the Comprehensive Care Plan on 3/1/2016 at approximately 1:04 PM revealed that the Comprehensive Care Plan had not been reviewed or revised to indicate the resident had a decline in Bladder function and was having Urinary incontinence. The Comprehensive Care Plan revealed a focus area that the resident was At risk for Urinary incontinence r/t (related to) decreased mobility. The focus area was initiated on 11/11/2015 and last revised on 11/23/2015. During an interview with Registered Nurse (RN) #4 on 3/1/2016 at approximately 1:04 PM, RN #4 confirmed that the resident was assessed as always continent of the Bladder on the Admission MDS and always incontinent of the Bladder on the Quarterly MDS. RN #4 also stated that the resident was having frequent episodes of high blood sugars and declining health status which were likely causing the increased Urinary incontinence. RN #4 stated the staff were toileting the resident more frequently. The Comprehensive Care Plan was reviewed with RN #4 and RN #4 confirmed the Comprehensive Care Plan had not been reviewed and revised related to the resident's decline in Bladder function. RN #4 confirmed that the Comprehensive Care Plan had not been revised to include more frequent toileting. In addition, RN #4 stated the Comprehensive Care Plan should have been revised related to the resident's decline in bladder function. 2016-06-01