cms_SC: 9372

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
9372	LIFE CARE CENTER OF HILTON HEAD	425147	120 LAMOTTE DRIVE	HILTON HEAD ISLAND	SC	29926	2012-01-25	152	D	1	0	YR0211	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On the days of the complaint inspection, based on record reviews, interviews, and review of facility policies, the facility failed to ensure that two physicians examined and certified the resident's inability to formulate advanced directives and/or consent to a Do Not Resuscitate (DNR) order for 1 of 1 cognitively impaired resident reviewed with a DNR order authorized by another person (#11). The findings included: Resident #11 with [DIAGNOSES REDACTED]. On [DATE], the resident's wife authorized a DNR order. On [DATE], the physician gave the DNR order. Review of the medical record failed to show a determination by two physicians, who examined the resident, that he was incompetent to make health care decisions. A document was noted in the medical record dated [DATE], written on notepaper and allegedly signed by the resident, stating he desired no CPR (cardiopulmonary resuscitation). The names of two witnesses were on the form, both printed in the same handwriting. A note at the bottom of the page was dated [DATE] and said the resident appointed his wife as decision maker and his daughter as alternate. The resident's signature for the added notation was not witnessed. Review of the facility's policy and procedure for Advanced Directives revealed the following: "Incompetent - When a resident is incompetent, he/she is unable to make his or her own decisions. A resident should not be presumed incompetent unless two (2) physicians render an opinion of such ... " (page ,[DATE]) "Residents that are not competent may be judged to be without capacity by two (2) physicians that will evaluate the resident and select the Code Status that is in the best interest of the resident. The 'Advanced Directive - Choice of Treatment' form must be signed by both physicians. ..." (page ,[DATE]) Review of the facility's Admission, Transfer, & Discharge Procedures, Chapter 1, page ,[DATE], stated: "... The forms to document competency include: "Resident Capacity, which is determined by the attending physician and then "Choice of Treatment, which must be signed another (sic) physician as required by SC law which requires two (2) physicians to deem a resident 'without capacity.' ..."	2015-05-01