cms_SC: 9373

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
9373 LIFE CARE CENTER OF HILTON HEAD 425147 120 LAMOTTE DRIVE HILTON HEAD ISLAND SC 29926 2012-01-25 153 G 1 0 YR0211 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the complaint inspection, based on medical record review, review of facility records, and interviews, the facility failed to ensure that a resident's legal representative was allowed to purchase copies of the resident's medical record with 2 working days advance notice for 2 of 2 requests made by family members (#1 and #2). The facility also failed to release copies of a medical record, requested by the resident, in a timely manner (#A). The findings included: Resident #1 with [DIAGNOSES REDACTED]. The resident was unable to communicate. His parents were deceased . For all his time at the facility, his sister was his responsible party and made all decisions for him. She signed authorization for Do Not Resuscitate (DNR)and for vaccinations. The facility staff notified the sister about any change in condition the resident experienced. The sister attended care plan meetings and actively participated in the ongoing plan of care for her brother. She was the one who signed discharge paperwork at the facility, and it was she who authorized release of information to the resident's new facility. Review of the available medical record revealed that on [DATE], two physicians signed a form titled Authorization of Do Not Resuscitate Incompetent Resident. The physicians certified that the resident did not have the capacity to make decisions and that DNR status was appropriate for him. Resident #1's sister signed consent for the DNR order. Review of the South Carolina Health Care Consent Act revealed that a residents inability to consent must be certified by two physicians. "... Persons who may make health care decisions for patient who is unable to consent; order of priority; exceptions. ...6 an adult sibling, grandparent, or adult grandchild of the patient ..." On [DATE], the resident's sister requested copies of his medical record for the period of [DATE] to [DATE]. On [DATE], the facility sent the requested copies of the medical record to their corporate legal office. On [DATE], the facility sent a letter to the resident's sister stating " ... (Resident) was deemed as 'Incompetent' as of his admission to our facility back in 2002 according to the documentation we have on file. ..." The facility continued to say: "Our legal team has indicated to me you will have to pursue legal 'Guardianship' through the Probate Courts in order to have any documentation related to (resident's) care at our facility released to you. ..." As of [DATE], the medical record copies still had not been released to Resident #1's sister. Resident #2 lived at the facility from [DATE] to [DATE]. Her [DIAGNOSES REDACTED]. Throughout most of her stay at the facility, the resident made her own decisions. She displayed impaired cognitive status in early 2011 (,[DATE] on the Brief Interview for Mental Status, assessment date of [DATE]) and had a decline in condition which became more pronounced in mid-[DATE]. At that time, the resident was included in the facility's Butterflies Are Free program for end of life comfort care. All diagnostics were discontinued. A physician's orders [REDACTED]. On [DATE], the resident vomited a large amount of brown emesis. Facility staff contacted the physician who instructed them to call the daughter and follow her wishes. The resident expired at the facility on [DATE]. On [DATE], the resident's daughter requested copies of the medical record. The facility sent copies of the record to their corporate legal department on [DATE]. As of [DATE], the copies had not been released to the resident's daughter. Resident #A requested copies of his medical record on [DATE]. The facility sent the copies to their corporate legal department on [DATE]. The copies were released to the resident on [DATE]. During an interview with the Administrator and the Health Care Information Management Director on [DATE] at 1:25 PM, they confirmed the information concerning the three medical records noted above. 2015-05-01