cms_SC: 9029

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
9029 PRUITTHEALTH BAMBERG 425104 439 NORTH STREET BAMBERG SC 29003 2012-04-11 274 G 1 0 GOSR11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the complaint inspection, based on record reviews, observations and the Guidelines for Determining the Need for a SCSA for Residents with Terminal Conditions CMA ' s RAI Version 3.0 Manual, chapter 2: Assessments for the RAI, page 2, the facility failed to identify a significant change in one of one resident with a significant change. Resident #2 declined in all areas of Activities of Daily Living, and had a significant weight loss but was not assessed for a significant change in his condition. The findings included: The facility admitted Resident #2 with [DIAGNOSES REDACTED]. Review of the resident's Admission and Quarterly Minimum Data Set (MDS) revealed, the Admission MDS dated [DATE] coded the resident as requiring limited assistance with walking, locomotion, dressing and hygiene. The resident was coded as requiring supervision with meals. He was coded as continent of bowel and occasional incontinence of bladder. His weight was recorded as 174 pounds. Review of Resident #2's referral admission history and physical dated 11/14/11 documented, "...73 y/o (year old) ... the general health status is good. Review of symptoms negative. VSS (vital sign), though orthostatic readings are in the 70's. Pt (patient) is alert to self only... Assessment: Pt is continuing with dementia as expected recent addition of [MEDICATION NAME]. He has become increasing difficult for family to manage at home. Pt has two respite stays during his hospice certifications. He is wandering throughout the neighborhood and is not sleeping throughout the night. It is expressed to me today that the family wishes to admit to the... for long term placement. This means they have no choice to revoke hospice as this team will not be allowed to continue care for patient in new setting..." The Quarterly MDS dated [DATE] indicated the resident declined in his activities of daily living (ADLs). He was documented as requiring extensive assistance with transfers and eating. He was coded as not ambulating, and requiring total assistance with locomotion, dressing and hygiene. His elimination was coded as incontinent of bowel and frequently incontinent of bladder. His weight was recorded as 150 pounds. Review of the Hospice Nursing Visit Record Form: 12/27/11 stated, "...frail weak, total care. Increased sleep 2nd decline..." 1/5/12 Pt with increased agitation which is relieved with transfer to geri chair and or/ repositioning. S/Sx (signs and symptoms) of decline due to decrease overall status. The resident had a significant change in his over all condition between his admission assessment and his quarterly assessment, and was not assessed for a significant change. Observation of the resident on 4/11/12 at 8 AM, revealed the resident lying in the bed in a fetal position. There was no response to his name or knocking on the door; two CNA's entered the room and were observed pulling the resident up in the bed, turning and positioning him. Review of the Guidelines for Determining the Need for a SCSA for Residents with Terminal Conditions states, "The key in determining if a SCSA is required for individuals with a terminal condition is whether or not the change in condition is an expected, well-defined part of the disease course and is consequently being addressed as part of the overall plan of care for the individual. If a terminally ill resident experiences a new onset of symptoms or a condition that is not part of the expected course of deterioration and the criteria are met for a SCSA, a SCSA assessment id required..." 2015-08-01