cms_SC: 8283

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
8283 NHC HEALTHCARE - LEXINGTON 425333 2993 SUNSET BLVD WEST COLUMBIA SC 29169 2012-04-18 328 D 0 1 98F911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification Survey, based on observations, record review and interview, the facility failed to ensure that 1 of 6 sample residents received proper treatment and care for the use of oxygen. Resident #6's oxygen was not administered as ordered. The findings included: The facility admitted Resident #6 on 2/23/12 with [DIAGNOSES REDACTED]. During initial tour of the facility on 4/16/12 at approximately 9:55 AM, Resident #6 was observed sitting in his chair with his oxygen infusing at 2 liters per minute. On 4/16/12 at approximately 4:10 PM while conducting the Resident Interview, the surveyor again observed oxygen set at 2 liters. During the interview, Resident #6 stated that therapy puts his oxygen level on 2 liters and at night, when he wakes up, it's on 1 liter. On 4/16/12 at approximately 5:35 PM, the surveyor again observed the oxygen set at 2 liters. Review of the Admission Minimum Data Set with the Assessment Reference Date of 3/1/12 revealed, Section J Health Conditions (1100-1550) coded Resident #6 as having shortness of breath or trouble breathing with exertion (e.g., walking, bathing, transferring) and when lying flat. Record Review on 4/16/12 at approximately 3 PM, revealed a physician's orders [REDACTED].@ (at) 3 l (liters)/minute via N/C (Nasal Cannula) continuous. Review of the treatment record for 4/1/12-4/30/12 on 4/16/12 at approximately 3:15 PM revealed nurses' signatures documenting on both shifts that the resident's oxygen was at 3L/minute. Review of the Nurse's Notes revealed documentation of various dates and times of the resident's oxygen infusing at 2L/minute: 3/10/12/ 7A-7P: .O2 (Oxygen) sat checked 84% (percent) on room air-O2 replaced in nostrils by N/C at 2l/min. 3/10/12/11:30 PM: O2 at 2l/min via N/C 3/11/12/3:15 PM: O2 in progress @ 2l/min via N/C . 3/13/12/5:30 PM: .O2 in progress at 2l/min via N/C 3/15/12/7P-7A: . O2 on @ 2l/min via N/C . 3/24/12/1:00 PM: .O2 continue @ 2l/min . 4/4/12/11:30 PM: .O2 @2l/min via N/C . On 4/16/12 at 5 PM,-1 review of Resident #6's Physical Therapy Progress Report dated 3/29/12-4/4/12 noted, Patient ambulated with O2 on 2L and O2 sats dropped to 88 with a minute recovery to 95 as patient began pursed lip breathing. On 4/16/12 at approximately 5:35 PM, during an interview with Licensed Practical Nurse #2, she verified Resident #6's oxygen level was at 2L/min and changed it back to 3L/min. 2016-06-01