cms_SC: 99

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
99	ELLEN SAGAR NURSING CENTER	425012	1817 JONESVILLE HIGHWAY	UNION	SC	29379	2017-05-11	431	E	1	1	SD8911	> Based on observation and interview, the facility failed to label medications with the date opened and/or failed to discard expired medications on 2 of 4 medication carts and in 1 of 2 medication rooms observed. The findings included: During review of the unit 2 medication carts on 5/9/17, 2 bottles of ophthalmic drops were observed on cart 1 with no open date: Artificial Tears 15 ml (milliliters) and Brimonidine Tarrate 0.2 % 5 ml. Review of the American Academy of Ophthalmology recommendations revealed A good rule of thumb is to throw away any opened bottle of eye drops after 3 months. Further review revealed a bottle of [MED] 0.005% 2.5 ml with an open date of 3/19/17. The pharmacy label stated to discard 6 weeks after opening. During an interview on 05/09/2017 at 12:04 PM, RN (Registered Nurse) #2 confirmed the findings and stated the policy is to discard 30 days after opening. On 05/10/2017 at 2:44 PM, review of the Unit 1 medication carts revealed Brimonidine Tarrate 0.2 % 5 ml 2 bottles with no open date, Timolol Maleate 0.5% 5 ml bottle with no open date, Olopatadine Hydrochloride 0.2% 2.5 ml bottle with no open date, and [MED] 0.005% 2.5 ml bottle with no open date. In addition, review of the cart revealed 2 Nicotine Transdermal Patches 7 mg (milligrams) that expired February, 2017. During an interview on 05/10/2017 3:00 PM, LPN (Licensed Practical Nurse) #1 confirmed the findings. Review of the facility's policy for Recommended Minimum Medication Storage Parameters for Ophthalmic, Otic, and Topical Medications on 5/11/17 revealed the recommendation for Ophthalmic preparations was to Refer to manufacturer's recommendations. Review of the online manufacturer's recommendations revealed Artificial Tears are stable for 90 days after opening, On 05/10/2017 at 9:01 AM, LPN #1 was observed during the medication pass. LPN #1 administered 24 units of Novolog [MED] to Resident #5. Observation revealed the vial of [MED] was opened on 04/11/2017. On 05/10/2017 at 2:04 PM, LPN #1 confirmed the medication should have been discarded 28 days after opening. The LPN also confirmed the resident received 5 doses of Novolog after day 28. 05/10/2017 3:03:38 PM, review of the Unit 1 medication room revealed 1 open bottle of Vitamin B-1 100 mg that expired 01/17. The finding was confirmed by LPN #2.	2020-09-01