cms_SC: 8325

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
8325 ALPHA HEALTH & REHAB OF GREER, LLC 425138 401 CHANDLER RD GREER SC 29651 2013-05-15 250 E 1 0 01DB11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Complaint Survey, based on record review and interviews, the facility failed to provide medically related social services. At the time of the complaint survey conducted on 5/14 - 5/15/2013 the facility was out of compliance at F-250 at a scope and severity of D related to Resident's #7 cited as part of the Recertification Survey conducted the week of 3/20/2013. F-250 was identified on 5/15/2013 and the citation was elevated to a scope and severity of E related to Resident #1's alleged history of drug abuse that was not addressed by Social Services; Residents #4 and #5 roommates of Resident #1 whose request for a room change was not documented in the Social Services Notes (4 of 6 residents reviewed for Social Services). The findings included: The Social Service Director was aware that Resident #1 had an alleged history of assault. The resident also had a history of [REDACTED]. Two residents were admitted to the room with Resident #1 and within 24 hours requested room change. There was no evidence the SSD made an attempt to determine the reasons for the requests. SSD was aware that Resident #4 had a history of [REDACTED]. There was no evidence of social service interventions or follow-up on any of the social issues with the residents. The facility admitted Resident #1 with [DIAGNOSES REDACTED]. Review of the resident's Social Progress Notes revealed on 4/18/13 that the resident was alert and oriented. Res. (resident) express s/he has a hx (history) of assault and aggravation. SS (social services) to monitor for a change in mood. There were no SS notes related to the resident's history of elicit drug abuse. Review of the Nurse's Notes revealed a note dated 5/1/13 at 2:00 PM. Resident alert and oriented. Able to make needs known. Resident stated I can't take this I'm going to slit myself and end it all . Resident has tennis ball sized powdered substance in bag at bedside, multiple syringes and spoons with burnt markings on them. Resident states has hx of drug abuse has been using while in facility, denies in room use. MD notified new order to send to ER for evaluation and tx (treatment) r/t (related to) suicidal ideation and possible withdrawal. The facility admitted Resident #4 with [DIAGNOSES REDACTED]. Resident #4 was placed in the room with Resident #1 on 4/28/13. Review of the Social Progress Notes revealed the family of Resident #4 reported a history of over use of pain medications. There were no further Social Services Notes on the medical record. The surveyor on 5/15/13 interviewed Resident #4 at approximately 10:10 AM. When the resident was asked about his/her experience with his/her roommate (Resident #1), the resident stated, The guy/girl in there seemed weird to me. S/he acted like s/he was on cloud 9 or something. There was something wrong with her/him. S/he acted like s/he didn't know where s/he was. S/he gave you a weird feeling. I was only in the room with her/him for 1 (one) day and 1 (one) night. I told them I had to get out of that room. I got the feeling s/he could cause me harm. I didn't know what to expect of him/her. I never saw him/her take anything, any medicine or drugs. I don't know what her/his problem was, but I was afraid of him The facility admitted Resident #5 with [DIAGNOSES REDACTED]. The resident was placed in the room with Resident #1 on 4/30/13. Review of the Nurse's Notes revealed a note written on 5/1/13 at 1:11 PM, which stated to transfer the resident to another room at patient's request. Review of the Social Services notes revealed a note dated 4/30/13, which stated resident was to change rooms because both of the residents in the room had the same (last) name. The surveyor on 5/15/13 interviewed the Social Services Director (SSD) at 9:10 AM and again at 10:30 AM. The SSD stated Resident #5 requested to move to a room the resident had been in before. S/he stated s/he and roommate didn't have a lot in common and didn't get along. S/he requested new roommate. Resident #4 requested a room change. His/her roommate 'looked like s/he was on cloud nine and had a wild look in his eye'. The SSD confirmed there was no social services note related to the transfers. When asked by the surveyor about Resident #4's over use of pain medication, the SSD stated the family had told her/him that when the resident was not at the facility. S/he confirmed it had not been addressed. 2016-05-01