cms_SC: 9769

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
9769 LAUREL BAYE HEALTHCARE BLACKVILLE 425319 1612 JONES BRIDGE ROAD BLACKVILLE SC 29817 2010-10-13 318 E 0 1 G9M911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on observation, record review and interviews, the facility failed to provide appropriate intervention for identified contractures for one of three sampled residents reviewed with contractures. The facility failed to provide intervention to improve or maintain Resident # 6's range of motion in his upper extremities and failed to adequately assess if the resident had a decline in range of motion. The findings included: The facility admitted Resident # 6 on 4/8/04 with a [DIAGNOSES REDACTED]. On 10/10/10 at approximately 11:00 AM, during initial tour of the facility, Resident # 6 was observed with contractures of the right arm and hand and bilateral contractures of legs and feet. On 10/10/10 review of the resident's clinical record revealed on the MDSs (Minimum Data Set) for Nursing Home Resident Assessment And Care Screening dated 7/8/10, 9/22/10 and 10/5/10, that the facility had coded the resident as having the following limits related to range of motion: arm: one sided limitation with full loss of voluntary movement hand: one sided limitation with full loss of voluntary movement leg: limitation of both sides with full loss of voluntary movement foot: limitation of both sides with full loss of voluntary movement Review of the RAPS (Resident Assessment Protocol) dated 10/5/10 revealed that the resident had right sided [MEDICAL CONDITION] which was the resident's dominate side. Further review of the document on the ADL (Activities of Daily Living) Supplement, revealed that the facility stated that the resident was dependent except for feeding. Review of the Physician's cumulative orders dated 10/1/10 revealed a physician's orders [REDACTED]. Interview with the facility Rehabilitation Manager on 10/13/10 at 10:16 AM, revealed that the facility practice was to inform the nurses on the unit what services should be provided and that the Restorative CNAs are shown what should be done prior to beginning Restorative services. When questioned what had been the recommended plan for Resident # 6, she stated that she did not know and both she and Restorative CNA # 1 were unable to find the Restorative Plan of Care" form for the resident. Reviewed with the Rehabilitation Manager the rehabilitation screen dated 6/30/10 post fall which stated that the resident was receiving restorative services to both the upper and lower extremities. Review of the Restorative Care Flow Records for June, July, August and September. Restorative CNA # 1 stated that she stretches the resident's leg with the contracture when questioned what care she provides to the resident. The Rehabilitation Manager stated that the nurse of the unit supervises the Restorative CNAs. When questioned who evaluates the effectiveness of services, the Rehabilitation Manager stated that Restorative CNAs should report if they notice any decrease in the range of motion. A discussion followed related to Resident # 6's documented contractures of the right hand/fingers and decreased range of motion. When asked why services were not being provided to the resident to maintain or prevent further decline to the upper extremities, the Rehabilitation Manager stated she did not know. When questioned if anyone assessed the degree of contracture or the degree of range of motion, the Rehabilitation Manager stated that this was not done. When questioned how would you be able to evaluate the effectiveness of the services or if the resident had a decline if the facility was not assessing for the degree of contracture/limited range of motion of his lower extremities and no answer was given. When questioned how the Restorative CNAs would be able to assess the resident's upper extremities if no services were being provided and no answer was given. When asked if the resident had been evaluated for any splints or hand rolls, the Rehabilitation Manager stated that she did not know and was unable to provide any documentation that the resident had been assessed for this type of intervention. The above findings were shared with the DON (Director of Nurses) and the facility Nurse Consultant on 10/13/10 at approximately 3:00 PM. 2014-12-01