cms_SC: 8278

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
8278 PRUITTHEALTH ESTILL 425315 252 LIBERTY STREET SOUTH ESTILL SC 29918 2012-07-18 280 D 0 1 4SFT11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on observations, interviews and record review, the facility failed to update the care plan for 2 of 5 sampled residents receiving oxygen. Resident #4 was observed by staff changing the setting of liters on his concentrator and Resident #8 was not care planned for the use of oxygen. The findings included: The facility admitted Resident #4 with [DIAGNOSES REDACTED]. During an observation of Resident #4 on 7/16/12 at 3:55pm, the Resident's oxygen concentrator was set at 4 liters per minute via nasal cannula. During a record review on 7/16/12 at approximately 4:00pm, the Physician's Interim Orders dated 7/4/12 stated Oxygen at 2 liters per minute via nasal cannula continuously. During an observation on 7/17/12 at 10:27am, Resident #4's oxygen concentrator was set at 4 liters per minute via nasal cannula. During an interview with the Unit Manager #1 on 7/17/12 at 10:27am, she verified the oxygen order was for 2 liters per minute and the current setting on the oxygen concentrator was 4 liters per minute. The Unit Manager then stated, He messes with it. The Resident also stated that the Concentrator gets bumped. During a review of the Resident's Care Plan on 7/17/12 at 10:30am, no evidence was noted that the Care Plan addressed behaviors with readjusting of the oxygen concentrator machine. During an interview with the Unit Manager #1 on 7/17/12 at 10:30am, she confirmed that the Care Plan was not updated to reflect the Resident's behavior related to adjusting the flow on the oxygen concentrator. The facility admitted Resident #8 with [DIAGNOSES REDACTED]. During the days of the survey Resident #8 was observed wearing a oxygen tank. Review of the medical record on 7/16/12 at approximately 4:50 PM which revealed a physician's clarification order dated 6/29/12 for oxygen: O2 (oxygen) 2 l/m (liters per minute) via NC (Nasal Canula) to maintain sats (saturation levels) > (greater than) 92% Review of Resident #8's Care Plan did not identify the use of oxygen. During an interview with the Minimum Data Set Coordinator on 7/17/12 at approximately 11 AM she verified the resident's need/use of oxygen was not on the resident's care plan. 2016-06-01