cms_SC: 8841

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
8841 AGAPE REHABILITATION OF CONWAY 425391 2320 HIGHWAY 378 CONWAY SC 29527 2012-12-03 157 G 1 0 2MGS11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On days of the complaint inspection, based on record review and interviews, the physician was not notified of a skin tear to Resident #3's left arm or Resident #1's change in condition. The findings included: Cross refers to F-323 as it relates to the failure of the facility to notify the physician of a skin tear to Resident #3's left arm on 09/14/2012. Cross refers to F-329 as it relates to the family of Resident #1 calling Emergency Medical Services (EMS) on 11/03/2012, EMS found 4 [MEDICATION NAME] Patches on the resident. The resident was found with decreased respirations and a blood glucose of 36. [MEDICATION NAME] and [MEDICATION NAME] were administered by EMS and the resident's vital signs improved and s/he became alert and oriented before arrival at the emergency room . Review of the closed medical record revealed [MEDICATION NAME] Patch(s) 25 micrograms was applied to Resident #1's chest upper left and upper right on 10/27/2012 and 10/30/2012 with no documentation that the [MEDICATION NAME] Patches were removed. On 11/02/2012 a [MEDICATION NAME] Patch was applied to Resident #1's chest upper left. The facility admitted Resident #3 from home with hospice care, for short term respite. In an interview with Certified Nurse Aide #1 s/he stated that the resident was injured during incontinent care sometime before midnight on 09/14/2012. Review of the resident's closed medical record showed no assessment or description of the injury and the physician was not notified of the injury from 09/14/2012 until the resident was discharged on [DATE]. Review of the facility investigation included a Resident Incident Report that indicated the incident date was 9-15-12 at 0335. The Narrative of incident and description of injuries stated, Call to room . observed skin tear to bilateral forearms. No other injury noted tx (treatment) in place. Hospice and family notified . Record review on 11/18/2012 revealed Nurse's Note from 09/14/2012 - 09/17/2012 the 9/14/2012 note at 0335 stated, Pt (patient) received skin tear to bilateral hands/forearm hospice nurse notified and husband notified. There was no other documentation regarding the skin tear to Resident #3's arm until 09/16/2012 at 2130 (9:30 PM) .Bilateral [MEDICATION NAME] intact on both arms . On 09/17/2012 at 1230 the Nurse's Note stated, Pt. (patient) D/C'd (discharged ) home per husband/hospice request . All meds given to husband . 1:00 PM Pt's husband notified Administrator that he chose to have the ambulance go ahead and take her/him to the hospital for evaluation of skin tears to arms prior to going home. Husband encouraged to keep us posted on her status. Review of Resident #3's hospital discharge summary dated 09/21/2012 indicated, .Hospital course: . 7. [MEDICAL CONDITION] of the arm. The patient was found to have old pieces of paper wrapped around her/his arms on admission. Wound care removed the tape, however, s/he did suffer some skin breakdown during the process. Wound care was consulted and they have dressing the wounds with petroleum gauze . Her/his left arm [MEDICAL CONDITION] is greater than her right. S/he is on [MEDICATION NAME] 100 twice a day . Resident #1 was admitted to the facility with [DIAGNOSES REDACTED]. Review of the EMS Incident Report dated 11/03/2012 stated, .Upon arrival found . patient lying in bed . Nurse staff stated that patient eyes rolled back into his head and s/he has not been able to talk today . Review of the 11/03/2012 Daily Skilled Nurse's Note dated 0900 stated, Resident eating breakfast in bed. AM medications administered. Alert but confused. SR (side rails) x 2. Bed in lowest position. Wound Vac intact. Foley cath intact draining amber urine. Will continue to monitor. There was no other documentation regarding Resident #1, the arrival of EMS or notification of the physician regarding a change in condition. In an interview with the surveyor on 11/18/2012 the Administrator confirmed there was no documentation related to the incident. S/he stated that the nurse working that day no longer worked at the facility. 2015-12-01