cms_SC: 91

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
91 ELLEN SAGAR NURSING CENTER 425012 1817 JONESVILLE HIGHWAY UNION SC 29379 2017-05-11 278 D 1 1 SD8911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and interview, the facility failed to assure that 1 of 5 sampled residents reviewed for unnecessary medications and one of 1 sampled resident reviewed for hospice services received accurate assessments. Resident #26 had a Minimum Data Set (MDS) assessment completed with inaccurate data related to skilled speech and physical therapy services. Resident #122 had a MDS assessment completed with inaccurate data for item J1400 addressing resident prognosis. The findings included: The facility admitted Resident #26 with [DIAGNOSES REDACTED]. Record review on 5/10/17 at 8:43 AM revealed that Resident #26 had a Physician Telephone Order dated 4/17/17 for Physical Therapy (PT), Occupational Therapy (OT), and Speech Therapy (ST) to evaluate and treat. Further review revealed a clarification telephone order written on 4/18/17 for .skilled PT services 5 times a week for four weeks . and an additional telephone order written for Patient to participate in skilled ST services 5 times a week .for 30 days . Additional review of section O-Special Treatments, Procedures and Programs, Items 0400A1-3A (ST treatment minutes) and O400C1-3A (PT treatment minutes) and O0420 (distinct calendar days of therapy) revealed that all were all answered with a 0 with 0400A4-6 (ST treatment days/ dates) and O400C4-6 (PT treatment days/ dates) were all blank with no information entered on the Admission Comprehensive MDS with Assessment Reference Date (ARD) of 4/25/2017. Further Record review of ST and PT treatment records for the dates of 4/19/17 through 4/25/17 provided on 5/10/17 at 1:30 PM by COTA #1 revealed that Resident #26 received skilled PT individual treatments on 4/19/17, 4/20/17, 4/21/17, 4/24/17, and 4/25/17 as well as skilled ST individual treatments on 4/19/17, 4/21/17, 4/24/17, and 4/25/17. COTA #1 verified during interview that Resident #26 received skilled ST and PT services during the assessment period of 4/19/17-4/25/17. During interview with MDS Nurse #1 on 5/11/17 at approximately 10:18 AM, s/he verified that the Admission Comprehensive MDS with ARD of 4/25/17 did not accurately reflect the skilled ST and PT services that Resident #26 received during the assessment period. MDS Nurse #1 further verified that the coding for section O items 0400A, 0400C and O0420 were all incorrectly coded and additionally reported that s/he only counted therapy if a resident was receiving skilled therapy services for short term rehabilitation (rehab) under Medicare Part A. MDS Nurse #2 was present during interview and supported this statement by further verifying that both MDS Nurses have historically only code skilled therapy services for those residents identified as short term rehab or Medicare A. 2020-09-01