cms_SC: 8280

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
8280 NHC HEALTHCARE - LEXINGTON 425333 2993 SUNSET BLVD WEST COLUMBIA SC 29169 2012-04-18 309 D 0 1 98F911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification Survey, based on record review, review of the Hospice contract, and interviews, the facility failed to provide documented evidence of hospice aide visits for 2 of 4 residents (Resident #4 and Resident #5) reviewed for hospice. The facility also failed to provide a current hospice treatment plan for Resident #4. The findings included: The facility admitted Resident #5 on [DATE] with [DIAGNOSES REDACTED]. Record review on [DATE] at approximately 11AM revealed Hospice orders for Resident #5. Review of the Hospice Care Plan noted that the Hospice aide was to visit 5 times a week to assist with personal care/ADL's/light housekeeping as needed within 60 day period of time. Further review of the Hospice record on [DATE] revealed no documentation of the Hospice aide visits or provision of planned care for Resident #5. On [DATE] at approximately 1:50 PM, a untitled document was located under the Hospice tab in the resident's medical record which revealed: The following forms need to be in the facility charts * Current Hospice Aide Care Plan and Weekly Progress Notes in separate notebook on each unit. Review of the Hospice contract on [DATE] at approximately 3:10 PM, under Section 5 A. Preparation and Maintenance of Records revealed: The facility shall prepare and maintain medical records for each Hospice patient receiving services pursuant to this Agreement. The medical records shall consist of progress notes and clinical notes describing all patient services and events .The Hospice PLAN OF CARE and other documentation must be maintained in the patient's medical record. On [DATE] at approximately 11:25 AM, during an interview with Registered Nurse (RN) #3, she verified there was no documentation of Hospice aide visits in the medical record or in a separate notebook on the unit. The Hospice aide notes were faxed to the facility on [DATE] at approximately 9:06 AM. During record review for Resident #4 on [DATE] at approximately 1:30 PM, there was no documented evidence that the Certified Nurses Assistants (CNA) for hospice services were providing care and visits as required based on the most recent treatment plan located in the chart. The plan called for CNA visits 5 times per week and Clergy visits as needed (no documentation of visits found). Also, the treatment plan for [DATE] through [DATE], which the hospice staff were using had expired. Interview with Registered Nurse (RN) #3 revealed that she could not locate the CNA visit sheets and would have to try and find them. An interview with CNA #1 on [DATE] at approximately 8:30 AM, revealed that the CNA caring for a hospice resident had a carbon copy care plan and that they were to sign each day that they cared for the resident and at the end of the week the yellow copy went in the hospice binder at the facility and the original went to their hospice office. CNA #1 located the hospice binder at the nurses desk and tried to locate the yellow signature sheets for Resident #4, but stated they were not in the book. Interview with RN #3 on [DATE] at approximately 10:18 AM, revealed that she was having the CNA visit sheets and updated treatment plan faxed over from the hospice service. 2016-06-01