cms_SC: 9120

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
9120 AGAPE NURSING & REHAB CENTER 425379 300 AGAPE DRIVE WEST COLUMBIA SC 29169 2014-01-06 386 D 1 0 O2TO12 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the first revisit survey, based on record review and interviews, the facility failed to provide physician's review of MEDICATION ORDERS FOR [REDACTED]. The findings included: Review of Resident #4's medical record revealed the resident was readmitted from the hospital on [DATE] with a [DIAGNOSES REDACTED]. Resident #4 was noted with an order for [REDACTED]. Review of Resident #4's December 2013 MAR indicated [REDACTED]. The January 2014 MAR indicated [REDACTED]. The facility admitted resident #15 with [DIAGNOSES REDACTED]. Review of the resident's Physician Orders of 12/13/13 revealed an order for [REDACTED]. Review of the resident's MAR (Medication Administration Record) revealed the resident received the [MEDICATION NAME] in December on 12/15, 12/16/ 12/18, 12/19, 12/23, 12/24, 12/27, 12/28, 12/29/2013. In January the resident received the [MEDICATION NAME] on 1/1, 1/2, 1/3 and 1/7/2014. Review of the resident's bowel movement records revealed the resident had loose stools documented on 12/14, 12/20, 12/21, 12/22, 12/23, 12/24, 12/26, 12/27, 12/30, 12/31/2013; 1/1, 1/2, 1/4, 1/5, 1/6 and 1/7/2014. Review of the Physician's Visits dated 12/14/13, 12/16/13, 12/18/13, 12/23/13 and 1/2/14, included a medication review. On each visit [MEDICATION NAME] was listed as an active medication. The visits also stated the resident had [MEDICAL CONDITION]; was on [MEDICATION NAME] and isolation precautions. Review of the systems review on each visit included the Gastrointestinal system that stated, "Not Present: Bowel changes, Constipation, Diarrhea, Indigestion, Nausea, Vomiting, Abdominal Pain, Dysphagia and Heartburn". The resident had a bowel infection that resulted in loose stools, but had an order for [REDACTED]. On 1/1/7/2014 at approximately 4:00 PM, the Nurse Practitioner (NP) was interviewed by the surveyor. The Nurse Practitioner stated that the resident's [MEDICATION NAME] was an "oversight". Resident #16 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the resident's admission Physician Orders revealed an order for [REDACTED]. Review of Resident #16's Hospital Discharge Summary Addendum dated 12/19/13 revealed "..Because of her/him being started on Cipro, it has a contraindication with her/his [MEDICATION NAME], so the [MEDICATION NAME] will be switched to [MEDICATION NAME] 5 - 10 milligrams by mouth every 8 hours as needed for spasms...". The Discharge Medications were listed as: "1. [MEDICATION NAME] 2 g(ram) intravenous every 12 hours for 6 weeks. 2. [MEDICATION NAME] milligrams by mouth twice a day for 6 weeks plus. 3. The [MEDICATION NAME] has been discontinued and she will be on [MEDICATION NAME] 5-10 milligrams by mouth every 8 hours as needed for spasms." Review of the Physician's Telephone orders revealed an order on 12/23/13 "[MEDICATION NAME] 2 gms IV Q 12h x 6 week. Stop on 2/4/14. [MEDICATION NAME] mg 1 tab PO BID for 6 weeks. Stop on 2/4/14." There were no orders located related to the resident's [MEDICATION NAME] order. Review of Resident #16's Medication Administration Records for December 2013 and January 2014 revealed the resident continued to [MEDICATION NAME] 12/23/13 - 1/7/14. Review of the Nurse Practitioner's Progress Note dated 12/26/13 at 9:23 AM revealed a list of Resident #16's medication. Review of the medication list revealed [MEDICATION NAME] 8 milligrams every 8 hours was listed as one of the resident's medications. Further review revealed that [MEDICATION NAME] not listed on the report. At the bottom of the medication list it was noted that medications were reconciled. In an interview with the surveyor on 1/7/14 at approximately 10:10 AM, the Director of Nursing (DON) stated that they called the hospital to find out why Resident #16 had a PICC line and were told that the resident should be on IV (intravenous) antibiotics. The hospital faxed over the Discharge Summary Addendum that included information related to the IV antibiotics on 12/23/13. During interview at 10:30 AM the DON confirmed that the [MEDICATION NAME] should have been discontinued when [MEDICATION NAME] started. The DON stated that s/he would contact the physician and complete a medication error report. 2015-08-01