cms_SC: 8284

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
8284 MARTHA FRANKS BAPTIST RETIREMENT CENTER 425334 ONE MARTHA FRANKS DRIVE LAURENS SC 29360 2012-02-08 280 D 0 1 6G5L11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey based on record review, observation, interviews and review of the facility's Wandering/Elopement Risk Policy, the facility failed to review and revise a care plan for 1 of 1 sampled resident with exit seeking behaviors. (Resident #13's care plan was not updated related to placement and location of wanderguard bracelet). The findings included: The facility admitted Resident #13 on 9/16/08 with diagnosed that included Altered Mental Status, [MEDICAL CONDITION], Hypertension and Dementia. Record review on 2/08/12 at approximately 11:30 AM revealed a Nurse's Note dated 10/31/11 that indicated resident was found outside Unit 2 by staff. The Nurse's Note further indicated the resident was not wearing a wanderguard bracelet and the writer immediately placed one on resident's left wrist. A Nurse's Note dated 12/15/11 indicated the resident tried to leave the facility several times. There was no documentation to indicate if the wanderguard was checked or located on the left wrist. Review of the facility's Wandering/Elopement Risk Policy indicated in #2 under procedure With each quarterly, annual, or significant change assessment, the Wandering/Elopement Risk Assessment is to be completed and the care plan revised/updated to reflect the current needs of the resident. An observation on 2/08/12 at 12:30 PM revealed the resident was in his room seated in a chair. There was no wanderguard located on the resident's left wrist. The resident's care plan, incorrectly dated as last reviewed 3/20/12, indicated the resident was at risk for elopement but stated the Resident will not wear a wanderguard; he will remove all that are applied. It had not been revised to reflect the resident was currently wearing a wanderguard or where it was located. Review of the MAR (Medication Administration Records) for November 2011, December 2011, January 2012 and February 2012 did not indicate the location of the wanderguard. An interview on 2/08/12 at approximately 12:45 PM with LPN (Licensed Practical Nurse) #3 revealed the resident was able to remove the wanderguard from his wrist. LPN #3 further confirmed the care plan and the MAR indicated [REDACTED]. During the observation LPN #3 informed resident he wanted to see his bracelet. The LPN checked both of the resident's wrists and could not locate the bracelet. LPN #3 then checked the resident's left ankle and located the wanderguard bracelet. LPN #3 stated she did not know when the bracelet was placed on the left ankle and confirmed there was no documentation to indicate when the bracelet was placed on the left ankle. An interview on 2/08/12 at approximately 1:25 PM with the ADON (Assistant Director of Nursing) revealed the facility did not have an incident report to investigate the 10/31/11 exit seeking behavior. The ADON stated the wanderguard was removed from the resident's wrist because the resident was able to remove it. The ADON further confirmed the care plan was not updated to reflect the placement of the wander guard bracelet. 2016-06-01