cms_SC: 8292
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8292 | EMERITUS AT GREENVILLE | 425373 | 1306 PELHAM RD | GREENVILLE | SC | 29615 | 2012-09-12 | 225 | D | 0 | 1 | FVQN11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of survey, based on record review, interviews and review of the facility's Event Management Report, Investigating & (and) Reporting Policy and Event Management And Reporting Policy, the facility failed to report alleged violations involving mistreatment, neglect, or abuse, including injuries of unknown source and misappropriation of resident property are reported immediately to the administrator of the facility and to other officials in accordance with State law through established procedures (including to the State survey and certification agency). Resident #10, 1 of 1 resident with an injury of unknown origin, failed to have the injury reported by the facility to the appropriate state agency. The findings included: On 9/12/12 at 11:40 AM, during the record review for Resident #10, the Nurse's Notes contained documentation which stated on 6/24/12 at 11:30 AM .Upon inspection of pt (patient) there is a large discolored area to the L (left) ribcage area, baseball size .Area of unknown origin . Review of the resident's skin form stated the area was at the L (left) [MEDICATION NAME] area underarm and was Large baseball size discoloration to L underarm . The facility's Event Report Management-SNF form which was signed by the Director of Nursing (DON) stated Cause, if known, Unknown The DON added a statement to the back of the forms that the injury had occurred as the resident was being transferred as the DON had witnessed the resident being transferred by the staff lifting the resident with their arm/elbow lined up with the discolored area/hematoma. The statement also indicated that the staff transferred Resident #10 this way and held the resident tightly due to resisting care. The DON determined that the injury was from the staff transferring the resident. On 9/12 at 12:30 PM, during an interview with the DON, the DON stated that the staff should not have written Unknown. When asked if she had completed a 24 hour report and investigation and a Five Day report which was required for injuries of unknown origin, the DON stated she had investigated and written the findings on the back of the Event Report Management-SNF form. The DON stated that they did not take written statements from the staff or report as required to the state agency. The facility's Event Management Report indicated .The Executive Director will report to the licensing agency within State specific guidelines of any of the following events: Death of a resident, Any serious injury, as determined by the attending physician, while the resident is under facility supervision .Incidents which threaten the welfare, safety, or health of any resident .Event Investigation: In the event is the result of an injury of unknown origin, the Executive Director shall complete an Event Investigation Form. Attach the Event Management Report. For investigations of allegations of abuse, neglect or exploitation, refer to the Abuse Prevention, Identification and Reporting Policy . The facility's Investigating And Reporting Policy indicated .Procedure .6. All facilities will follow their state specific regulations . | 2016-06-01 |