cms_SC: 8273

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

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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
8273	CAPSTONE HEALTH & REHAB OF EASLEY	425298	1850 CRESTVIEW ROAD	EASLEY	SC	29642	2012-07-12	157	G	0	1	PSVU11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On the days of the survey, based on record review and interview, the facility failed to notify the physician timely for 1 of 9 residents reviewed with a change in their condition. The facility did not notify the physician when Resident #7, with history of respiratory distress, respiratory status changed. The findings included: The facility admitted resident #7 with [DIAGNOSES REDACTED]. Review of the nurses notes revealed the following documentation: 6/9/12 11:50 (no am or pm), Resident stated I don't feel well and I can't breathe. Resident also stated, Take me to the hospital! VS (vital signs) are as followed (sic): T (temperature) 99.6, P (pulse) 161, O2 (Oxygen) 51%, Resident diaphoretic and RR (Respirations) labored and uneven. Called on call NP (nurse Practitioner) ____ New order to send to ER. 6/12/12, 3:30 PM Resident returned to facility . The nurses notes throughout the resident stay described the resident's respirations as even and unlabored until 6/26/12. 6/26/12, 1230AM (late entry) Resp even and unlabored. 6/26/12, 3:00 AM (late entry) Resp shallow, lying in bed with eyes closed. Sleeping soundly, hard to arouse. O2 @ 2L (liters) NC (nasal cannula). There was no MD notification of shallow respirations or that the resident was difficult to arouse. 6/26/12, 640 AM (late entry) O2 88% inc. (increased) O2 to 3L, O2 increased to 92%. Informed on coming nurse of residents status. VS 156/70, 22, 91, 97.9. Will continue to monitor resident. There was no MD notification of the decreased oxygen saturation level or the decision to increase the oxygen flow rate for the resident with known [MEDICAL CONDITION]. 6/26/12, 8:15 (no am or pm) Resident noted to be diaphoretic, breathing labored, O2 Sat 83% on 3L/M,, increased O2 to 4L/M via N/C (nasal cannula) v/s 168/76 -92-29-98.8. Called NP (Nurse Practitioner) and spoke to her and she said to contact family and send out . The physician or nurse practitioner was not notified until 8:15 AM after the resident was noted to be diaphoretic and the resident's oxygen had again been increased to 4L/M. Review of the Resident's Physician orders revealed Oxygen was ordered at 2L/M. There was no Physician's order to increase the Oxygen rate for the resident with [MEDICAL CONDITION]. The resident was sent to the hospital and required intubation for respiratory distress. A Consultation report dated 6/29/12, contained transfer information from the hospital. The report stated, This patient .admitted on [DATE] with shortness of breath and [MEDICAL CONDITION], had to be intubated and was noted to have pneumonia During an interview with the Director of Nursing on 7/12/12 at approximately 3:00 PM, she provided a statement from the nurse on duty at the time of the transfer which stated the Nurse Practitioner was called at 7:45 AM. Review of the Standing Orders fir Dyspnea/Cyanosis, stated, Obtain resident vital signs, pulse oxygen level, note any [MEDICAL CONDITION], have recent and prior weights available, and then notify MD. If RN available, assess cardiac and lung sounds prior to contacting MD.	2016-06-01