cms_SC: 8450

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
8450 SUMMIT HILLS SKILLED NURSING FACILITY 425390 110 SUMMIT HILLS DRIVE SPARTANBURG SC 29307 2012-08-02 152 E 0 1 SQR511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification and Extended Survey, based on interview, record review, and review of the South Carolina Code of Laws, the facility failed to ensure that residents' Authorization of Do Not Resuscitate - Resident Without Decision Making Capacity was signed by 2 physicians in accordance with state laws for 3 of 5 residents reviewed for Decision Making Capacity, Residents #2, #4 and #10. The findings included: The facility admitted Resident #2 with [DIAGNOSES REDACTED]. On 7/30/12 at 2:45 PM, record review revealed that the Authorization of Do Not Resuscitate Resident Without Decision Making Capacity was signed by the attending physician. There was no signature for a concurring physician. During an interview on 8/1/12 at 7:48 AM, the Director of Nursing confirmed there was only 1 physician signature on the Authorization and that 2 signatures were required. The Social Worker was not available to interview. The facility admitted Resident #4 with [DIAGNOSES REDACTED]. The facility admitted Resident #10 with [DIAGNOSES REDACTED]. On 7/31/2012 record review for Residents #4 and #10 revealed that the Authorization of Do Not Resuscitate Resident Without Decision Making Capacity was signed by the attending physician. There was no signature for a concurring physician. In an interview on 07/31/2012 the Director of Nurses confirmed that two signatures were required. Review of the Interpretive guidelines of CFR 483.10(a)(3) and (4) revealed that the facility may seek a health care decision (or any other decision or authorization) from a surrogate or representative only when the resident is unable to make the decision. Review of the South Carolina Code of Laws, Title 44 - Health, Chapter 66, Adult Health Care Consent Act, Section 44-66-10 #9 revealed A patient's inability to consent must be certified by two licensed physicians, each of whom has examined the patient. 2016-04-01