cms_SC: 84

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.

Data source: Big Local News · About: big-local-datasette

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
84	FAITH HEALTHCARE CENTER	425009	617 WEST MARION STREET	FLORENCE	SC	29501	2018-09-07	760	D	0	1	NUHA11	Based on observations, interview, and review of the facility policies and the Humalog KwikPen manufacture recommendations, the facility failed to administer the correct amount of insulin for 1 of 1 resident reviewed for insulin administration. Staff did not follow an established procedure to deliver the correct amount insulin to Resident #30. The findings included: On 9/5/18 at 5:15 PM, during an observation of Resident #30's medication administration on the Skilled West Unit, Licensed Practical Nurse (LPN) #1 checked Resident #30's blood sugar (BS) which was 224. The physician's orders stated, Resident #30 is to receive 4 units of Humalog insulin via the KwikPen for a BS between 200-249. LPN #1 attached a needle to the KwikPen and without priming the KwikPen, selected 4 units on the dose knob dial. LPN #1 proceeded to administer the insulin by putting the KwikPen needle onto Resident #30's left upper arm and pressed the dose knob administration button. Following the administration LPN #1 verified s/he did not prime the Humalog KwikPen prior to administration. LPN #1 was asked, Were you trained in using insulin pens? LPN #1 stated, No, I never heard of priming before. Review of the facility policy Medication Management Program, states under procedure (11. N.) Follow manufactures guidelines for medication pen-style delivery devices for priming and air shots. Review of the Humolog KwikPen manufactures recommendations reveals under, Priming your HUMALOG KwikPen. Step (4) states, Prime before each injection. Priming ensures the Pen is ready to dose and removes air that may collect in the cartridge during normal use. If you do not prime before each injection, you may get too much or too little insulin.	2020-09-01