cms_SC: 8281

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
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