cms_SC: 8281
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8281 | NHC HEALTHCARE - LEXINGTON | 425333 | 2993 SUNSET BLVD | WEST COLUMBIA | SC | 29169 | 2012-04-18 | 314 | D | 0 | 1 | 98F911 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification Survey, based on observation, interviews and record review, the facility failed to provide necessary treatment and services to promote healing and prevent infection for Resident # 1, 1 of 2 residents reviewed for wound care. The findings included: The facility admitted Resident #1 on 7/8/10 with [DIAGNOSES REDACTED]. The resident was admitted to the hospital on [DATE] with [DIAGNOSES REDACTED]. On 4/18/12 at 10:18 AM, Registered Nurse (RN) #1 was observed performing wound care to Resident #1. After removing the soiled dressing, removing her gloves and donning clean gloves, RN #1 flushed the wound bed with normal saline which drained out of the wound to the peri-wound. RN #1 used a dry gauze to dry the contaminated normal saline from the peri-wound and then continued around the entire peri-wound with the same gauze. She applied the skin prep and the dressing to the wound. RN #1 did not clean the contaminated normal saline from the peri-wound. At 10:31 AM, RN #1, confirmed that the normal saline that had drained from the wound bed was contaminated and that she had wiped the entire peri-wound area with the same gauze used to dry the contaminated normal saline from the area below the wound. She verified that she should have discarded the gauze after drying the peri-wound of the contaminated normal saline and used a clean gauze and normal saline to clean the peri-wound. During an interview at 12:05 PM on 4/18/12, the Director of Nursing (DON) stated that ideally, the nurse would not have wiped the peri-wound with a contaminated gauze but once she did, she should have stopped the treatment and started over. The DON also verified that the facility's policy did not state how the wound or peri-wound should be cleaned but confirmed that a prudent nurse would have cleaned the peri-wound and that it should be cleaned from the edge of the wound outward. | 2016-06-01 |