cms_SC: 8532

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
8532 COUNTRYWOOD NURSING CENTER, LLC 425370 1645 RIDGE ROAD HOPKINS SC 29061 2012-02-22 152 D 0 1 BQ7X11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification Survey, based on record review, interview and review of South Carolina Code of Laws, Title 44 - Health, Chapter 66, Adult Health Care Consent Act, the facility failed to ensure that the Do Not Resuscitate (DNR) order was obtained in accordance with State law as required for Resident #4, 1 of 5 residents reviewed with DNR orders. The facility failed to ensure that 2 Physicians had examined and certified the inability to consent for Resident #4. The findings included: On [DATE] at 4:10 PM, record review revealed a South Carolina Emergency Medical Services (EMS) DO NOT RESUSCITATE ORDER signed by the resident's representative. Further review revealed a facility form, CPR (Cardiopulmonary Resuscitation) DIRECTIVE, signed by the representative and dated [DATE] indicating the representative had signed an EMS - No CPR Directive or Do Not Resuscitate (DNR) order. Record review also revealed an AUTHORIZATION OF DO NOT RESUSCITATE INCOMPETENT RESIDENT form for Resident #4. The form was signed by the Attending Physician [DATE] and the resident's representative on [DATE]. There was no signature for a Concurring Physician. During an interview on [DATE] at 11:50 AM, Licensed Practical Nurse (LPN) #2 was asked if the resident was a DNR or a Full Code. LPN #2 pulled the resident's record and stated she was a DNR. She confirmed the DNR order was signed by the resident's representative. She stated that a representative is allowed to sign for a resident only if the resident had been deemed incompetent to consent and stated that the inability to consent had to be certified by 2 physicians. LPN #2 confirmed that the AUTHORIZATION OF DO NOT RESUSCITATE INCOMPETENT RESIDENT was signed by only one physician and that the resident should be a full code until the second physician signature was obtained. She also confirmed that, when asked if the resident was a DNR or Full Code, she had gone to the DNR form and determined the resident was a DNR. Review of South Carolina Code of Laws, Title 44 - Health, Chapter 66, Adult Health Care Consent Act revealed the statement A patient's ability to consent must be certified by two licensed physicians, each of whom has examined the patient. 2016-03-01