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| Link | rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text ▲ | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7983 | 7983 | MAGNOLIA MANOR - SPARTANBURG | 425091 | 375 SERPENTINE DRIVE | SPARTANBURG | SC | 29305 | 2016-05-19 | 371 | D | 0 | 1 | 7XSB11 | craked insulated covers Food tray domes noted to be cracked and or chipped. See surveyors notes. Food served under serving domes that are cracked and/or chipped. Food served on Styrofoam trays for resident 200 Hall Multiple tray domes noted to cracked/stained when provided to residents. During kitchen review on 5/18/16 cracked/stained food tray domes noted on clean rack to be used on resident foods. Styrofoam trays noted to place residents foods. see survey notes | 2016-09-01 |
| 8732 | 8732 | MOUNT PLEASANT MANOR | 425110 | 921 BOWMAN ROAD | MT PLEASANT | SC | 29464 | 2012-12-18 | 490 | K | 1 | 0 | DVUG11 | br>On the days of the survey based on observations, record review and interview, Immediate Jeopardy was identified related to the failure of the facility administration to administer the facility in a manner to use its resources effectively and efficiently to maintain the physical, mental and psychosocial well-being of each resident. The Abuse Prohibition Policy was not implemented related to the identification, investigation and reporting of alleged abuse. The findings included: Cross Refer to F-223 as it relates to the failure of the facility to respond appropriately to allegations made by residents of potential abuse. Cross Refer to F-226 as it relates to the failure of the facility to implement the Abuse Prohibition Policy related to investigation, identification and reporting alleged abuse. On 12/6/12 Resident #1's family member had a hidden video camera placed at his/her bedside. On 12/17/12 the surveyor viewed a video at the police department that revealed on 12/6/12 between 6:00 PM and 7:00 PM Certified Nursing Assistant (CNA) #1 flicked the resident's nostril while the resident appeared to be asleep, then hide behind the curtain so the resident could not see what happened. CNA #1 then pulled the curtain between the two beds and grabbed the resident's arm through the curtain. Resident #1 attempted to grab his/her own hand in an attempt to release the CNA's grasp. The resident poured a glass of water on the CNA, grabbed an electric razor and struck the CNA to release his/her grasp. CNA #1 was observed to roughly clean the resident's arm with a wipe. CNA #1 then walked around the resident's bedside and leaned close to the resident and was observed to yell at the resident (no sound was available on the video at the time of the survey). CNA #1 was observed leaning close to the resident's cheek in what appeared to be an attempt to kiss the resident. On 12/7/12 the police alerted the facility of CNA #1's alleged behavior and the CNA #1 was escorted from the facility on 12/7/12 at approximately 6:30 PM. CNA #1 w… | 2015-12-01 |
| 8591 | 8591 | PRUITTHEALTH NORTH AUGUSTA | 425296 | 1200 TALISMAN DRIVE | NORTH AUGUSTA | SC | 29841 | 2013-02-11 | 226 | D | 1 | 0 | AVX711 | br>On the days of the complaint inspection based on record review, interview and review of the facility policy on Abuse and Neglect, the facility failed to follow their policy related to conducting a thorough investigation for 3 of 3 residents reviewed with fractures. Resident #1, #2 and #3 sustained fractures while in the facility and the facility failed to conduct thorough investigations. The findings include: Cross Refer to F 225 related to the failure of the facility to conduct a thorough investigation related to Resident #1, #2 and #3's fracture. Review of the facility policy on Abuse and Neglect in the INVESTIGATING under page 1 of 3 #1 *Investigation documentation will include, but not be limited to, the following: Date and time of the alleged occurrence. Patient/resident's full name and room number. Names of the accused and any witnesses. Names of the healthcare center/agency staff who investigated the allegations. Any physical evidence and description of emotional state of patient/resident (s). Details of the alleged incident and injury. Signed statements from pertinent parties. On page 2 of 3 under INVESTIGATING the second paragraph indicated, Interviews will be conducted of all pertinent parties, utilizing open-ended questions. Written signed statements from any involved parties will be obtained and notarized, if indicated. Statements will be gathered from the suspect, person making accusations, patient/resident involved, reliable patient/residents who may have witnessed the incident, and any other persons who may have some information. | 2016-02-01 |
| 8631 | 8631 | ELLEN SAGAR NURSING CENTER | 425012 | 1817 JONESVILLE HIGHWAY | UNION | SC | 29379 | 2013-01-22 | 226 | D | 1 | 0 | 2OB711 | br>On the days of the complaint and extended survey based on record review, interview and review of the facility policy on Abuse and Neglect, the facility failed to implement their policy and procedures for investigating and reporting alleged neglect. Resident #1 was found in the Switzer Hall Machine shop trapped behind a closed door with multiple chemicals. The findings included: Cross Refer to F 225 as it relates to the facility failure to conduct a thorough investigation related to Resident #1 being found in the Switzer Hall Machine Shop trapped behind a closed door with multiple chemicals. The facility failed to interview pertinent staff members and failed to timely report the incident to facility administration. Review of the facility policy on Abuse and Neglect revealed, .Investigation: Document the incident on the Statement of Concern, Call Assistant Director of Nursing, Call Director of Nursing, Complete the Interview Statement .the assigned nurse/charge nurse will begin the assessment process with complete vital signs and body audit on the resident, note the room surroundings .fully complete the incident/accident investigation, contact the attending physician, contact Responsible Party, take written statements on Interview of Concern Form on all staff present at the time of the incident, document fully in the nurses notes . | 2016-01-01 |
| 8634 | 8634 | ELLEN SAGAR NURSING CENTER | 425012 | 1817 JONESVILLE HIGHWAY | UNION | SC | 29379 | 2013-01-22 | 490 | K | 1 | 0 | 2OB711 | br>On the days of the complaint and extended survey based on observations, record review and interview, the facility Administration failed to administer the facility in a manner that effectively and efficiently used its resources to maintain the physical, mental and psychosocial well-being of each resident. The Administration failed to ensure the facility policies and procedures were followed related to wandering, exit seeking and elopement; the facility policy on Abuse and Neglect was not thoroughly implemented. The findings included: Cross Refer to F-323 related to the facility failure to safeguard residents from accidents and hazards. Resident #1 was found trapped behind a closed door on the Switzer Hall in the Machine Shop with multiple chemicals and other hazards present. The Switzer double door, beauty shop door and Switzer exit door were not on the facility code alert system, the staff was relied on to physically arm or disarm the system using a key. The exit door at the time of the survey, on 1/14/2013 was not armed and could not to be latched without extensive effort and force. During an interview on 1/14/2013, the Administrator confirmed Resident #1 was found on the Switzer Hall in the Machine Shop trapped behind a closed door with multiple chemicals present. The Administrator also confirmed the doors were not part of the Code Alert System and that the Switzer double doors, beauty shop door and Switzer exit door relied on the staff to disarm and then re-arm with use. The Administrator and Director of Nurses confirmed that staff members were in and out of the area multiple times throughout the day. The Administrator also confirmed that the Switzer Exit door was difficult to close and required extensive effort to secure. The Administrator confirmed that an estimate for a new exit door for Switzer was obtained on 10/24/2012. On 1/14/2013 at 4:45 PM the Administration was notified that Substandard Quality of Care and/or Immediate Jeopardy was identified at F-280, F-323 and F-490 at a scope and severity of K… | 2016-01-01 |
| 8770 | 8770 | ST GEORGE HEALTHCARE CENTER | 425143 | 905 DUKE STREET | SAINT GEORGE | SC | 29477 | 2012-12-18 | 499 | F | 1 | 0 | Q5B511 | br>On the days of the Recertification, Complaint and Extended Surveys, based on interviews and review of the facility's files in reference to the extended survey, the facility failed to ensure that licensed nurses had renewed their licenses prior to the expiration date of the licenses. The findings included: On 12/18/12 at 11:53 AM, employee files of 4 Licensed Practical Nurses (LPN) and all Registered Nurses (RN) were reviewed as part of the extended survey. The findings were as follows: LPN A was hired on 8/23/12 as a Licensed Practical Nurse. Review of the employee file revealed a Certificate from the State Board of Nursing for South Carolina that conveyed the title of Licensed Practical Nurse to the employee dated 8/31/12. Further review revealed a License Verification that stated the LPN's license was issued on 8/15/12 but the facility did not obtain the verification until 11/5/12. RN A was hired on 12/15/09. Review of the employee file revealed the earliest license renewal verification was dated 10/13/11 with an expiration date of 4/30/12. Further review revealed the RN's license renewal verification was not obtained until 5/14/12. RN B was hired on 8/30/11. Review of the employee file revealed the earliest license renewal verification was dated 9/8/12 as a Licensed Practical Nurse with an expiration date of 4/30/12. Further review revealed a Registered Nurse license was issued on 9/13/11 with an expiration date of 4/30/12 that was obtained by the facility on 9/14/12. Continued review revealed the facility did not obtain a license renewal verification until 6/28/12. RN C was hired on 6/29/11. Review of the employee file revealed a license verification was obtained by the facility on 6/15/11 with an expiration date of 4/30/12. Further review revealed the license renewal verification was obtained on 6/28/12. RN D was hired on 12/6/11. Review of the employee file revealed a license verification dated 12/1/11 with an expiration date of 4/30/12. Further review revealed the license renewal verification was obtain… | 2015-12-01 |
| 8643 | 8643 | MAJESTY HEALTH & REHAB OF EASLEY, LLC | 425018 | 200 ANNE DRIVE | EASLEY | SC | 29640 | 2013-01-10 | 226 | D | 1 | 0 | GT8111 | br>On the days of the Complaint and Extended Surveys, based on observations, record review, interview and review of the facility policy on Abuse and Neglect, the facility failed to implement written policies and procedures that prohibit the neglect of residents. On 12/04/2012 a suspected gas leak was not reported to the facility administration immediately; Licensed staff failed to promptly safeguard residents and the facility failed to conduct a thorough investigation. The findings included: Cross Refer to F-323 related to the facility's failure to safeguard residents from accidents and hazards related to a gas leak that occurred on 12/4/12. During an interview on 1/8/13 at 4:45 PM, LPN #1 stated that when s/he arrived in the building on 12/4/12 at 7 PM, s/he smelled a gas smell. LPN #1 stated that s/he kept asking other staff members if they smelled anything. LPN #1 stated that a couple of the girls said they also smelled gas. LPN #1 stated that the smell was stronger from the kitchen area. LPN #1 stated that s/he informed the kitchen staff three times of the gas smell. S/he stated that on the third time s/he had the dietary aide leave the kitchen and step outside, then walk back inside. Upon re-entering the Unit, the Dietary Aide confirmed that s/he smelled gas. However, the Dietary Aide proceeded to lock the kitchen and leave the facility. LPN #1 stated that s/he called another unit, and was informed to call the nurse on call. LPN #1 stated that the nurse on call instructed her/him to call the Administrator. The Administrator instructed her/him to call the non emergency fire department number. LPN #1 stated that when the fire department arrived, the kitchen could not be accessed and the residents were evacuated to Unit 2. During an interview on 1/9/13 at 1:50 PM, the Administrator confirmed that no staff statements were obtained related to the events on 12/4/12. She also stated that there was no supporting evidence of the time line of events provided to the state agency regarding the incident. S/he stated that… | 2016-01-01 |
| 8577 | 8577 | THE METHODIST OAKS | 425131 | 151 LOVELY DRIVE | ORANGEBURG | SC | 29115 | 2013-02-25 | 226 | D | 1 | 0 | 44S911 | br>On the day of the complaint inspection, based on limited record reviews, interviews, and review of the facility's policy entitled POLICY AND PROCEDURE FOR ALLEGED VIOLATIONS INVOLVING MISTREATMENT, NEGLECT, OR ABUSE, INCLUDING INJURIES OF UNKNOWN SOURCE AND MISAPPROPRIATION OF RESIDENT PROPERTY conducted in reference to a complaint received by this office, the facility failed to implement the policies and procedures related to reporting an alleged incident of neglect for Resident #1. The finding included: Review of the Initial 24 Hour Report dated 1/7/13 revealed an incident occurred on 12/29/12 when Certified Nursing Assistant (CNA) #1 rolled Resident #1 forward in the wheelchair and the Res(ident's) left leg bent backwards, caught behind w/c (wheelchair). Further review revealed on 1/2/13, the same CNA reported to Nurse (#1) that the Res. had a bruise by her/his knee. Review of the Five-Day Follow-Up Report revealed it was dated 1/22/13 and the fax confirmation was also dated 1/22/13 at 3:21 PM. On 12:13 PM on 2/25/13, review of the facility policy entitled POLICY AND PROCEDURE FOR ALLEGED VIOLATIONS INVOLVING MISTREATMENT, NEGLECT, OR ABUSE, INCLUDING INJURIES OF UNKNOWN SOURCE AND MISAPPROPRIATION OF RESIDENT PROPERTY, section 5, INVESTIGATION revealed a.) Immediately report to your supervisor/charge nurse. Supervisor is to immediately report the incident to the Director of Nursing and Administrator. b.) . Have all staff on the hall write a statement. d.) All persons will be questioned, including the Residents. Further review revealed 7.) All alleged violations involving mistreatment, neglect,or abuse, including injuries of unknown source, and misappropriation of resident property are reported to the Administrator of the facility. The Administrator or the Director of Nursing will notify the Department of Health and Environmental Control (DHEC) and the Ombudsman within 24 hours. If it is a weekend there is a file in the Medical Secretary's office with directions on faxing information to DHEC and the Ombudsm… | 2016-02-01 |
| 8768 | 8768 | ST GEORGE HEALTHCARE CENTER | 425143 | 905 DUKE STREET | SAINT GEORGE | SC | 29477 | 2012-12-18 | 411 | C | 1 | 0 | Q5B511 | br>On the day of the Extended Survey, based on interviews and review of the facility's files made in reference to the extended survey, the facility failed to have a contract or agreement with a dentist to provide routine and/or emergent dental services to residents. The findings included: On 12/18/12 at approximately 4:45 PM, review of the facility's contracts revealed no contract or other agreement with a dentist to provide dental services to the residents of the facility. During an interview at approximately 5:30 PM on 12/18/12, the Administrator confirmed that the facility had no contract or agreement with a dentist. S/he further stated that residents' families make appointments with personal dentists for services. | 2015-12-01 |
| 8771 | 8771 | ST GEORGE HEALTHCARE CENTER | 425143 | 905 DUKE STREET | SAINT GEORGE | SC | 29477 | 2012-12-18 | 503 | C | 1 | 0 | Q5B511 | br>On the day of the Extended Survey, based on interviews and review of the facility's files in made in reference to the extended survey, the facility failed to have a contract or agreement with a laboratory that meets the requirements of federal regulations to provide laboratory services to residents. The findings included: On 12/18/12 at approximately 4:45 PM, review of the facility's contracts revealed no contract or other agreement with a laboratory to provide laboratory services to the residents of the facility. During an interview at approximately 5:30 PM on 12/18/12, the Administrator confirmed that the facility had no contract or agreement with a laboratory. S/he stated that /she had been in contact with the laboratory on 12/18/12. S/he stated that the laboratory had informed her/him that there was no contract because the laboratory does not provide phlebotomy services. | 2015-12-01 |
| 4631 | 4631 | MAGNOLIA MANOR - SPARTANBURG | 425091 | 375 SERPENTINE DRIVE | SPARTANBURG | SC | 29305 | 2016-05-19 | 241 | D | 0 | 1 | 7XSB11 | based on rr See surveyor notes. Residents pulled from outside to dining while in wheel chair backward. Staff did not engage with resident as to being pulled backward. | 2019-09-01 |
| 8101 | 8101 | MAGNOLIA MANOR - SPARTANBURG | 425091 | 375 SERPENTINE DRIVE | SPARTANBURG | SC | 29305 | 2016-05-18 | 241 | E | 0 | 1 | 7XSB11 | based on rr See surveyor notes. Residents pulled from outside to dining while in wheel chair backward. Staff did not engage with resident as to being pulled backward. | 2016-07-01 |
| 4386 | 4386 | MAGNOLIA PLACE - SPARTANBURG | 425175 | 8020 WHITE AVENUE | SPARTANBURG | SC | 29303 | 2016-08-04 | 159 | D | 0 | 1 | Y9Q211 | The facility identified a census of 109 residents. Sample size included 2 residents that had personal fund's account with the facility. Based on review of the resident's personal fund account and interview, the facility failed to utilize acceptable accounting procedures for 1 (#17) Resident of the sample. Finding included: Review of Resident #17's personal account on 8/4/16 at 11:50 AM revealed a withdrawal for 180 dollars. The withdrawal lacked a signature by the resident. Interview with Business Office Staff #8 on 8/4/16 at 11:50 AM revealed the facility wrote a check to the resident's family member for 180 dollars from the residents funds, for clothes the family member stated they bought for the resident. Further interview at that time revealed the facility did not have a copy of the receipt for the clothes bought or had seen a receipt for the clothes purchased. The facility failed to ensure the resident's personal funds were managed in an acceptable manner. | 2020-02-01 |
| 4389 | 4389 | MAGNOLIA PLACE - SPARTANBURG | 425175 | 8020 WHITE AVENUE | SPARTANBURG | SC | 29303 | 2016-08-04 | 253 | D | 0 | 1 | Y9Q211 | The facility identified a census of 109 residents that resided on 4 units. Based on observation, interviews, and review of the facility policies, the facility failed to maintain a clean environment for residents on 1 unit of the facility. Findings included: Observation of the facility during Stage 1 of the survey on 8/1 and 8/2/16 revealed the bathroom floors for residents #191, #71, #188, #278, #196, #114, #17, #90, #20, with black substance along the walls and around the commodes and marred areas on the floors. Interview with Maintenance Staff #9 on 8/4/16 at 12:11 PM revealed room inspections were done at least quarterly and were done at the end of June. Further interview with this staff revealed the facility needed to scrape and clean the bathroom floors to remove the substance along the walls and the commodes. Review of the 5-Step Daily Patient Room Cleaning policy dated 1/1/2000 revealed all corners and along all baseboards must be dust mopped to prevent buildup. When water pushes dust into corners, problems occur. The facility failed to maintain a clean environment for the residents. | 2020-02-01 |
| 3377 | 3377 | LAKE MOULTRIE NURSING HOME | 425341 | 1038 MCGILL LANE | SAINT STEPHEN | SC | 29479 | 2018-08-31 | 640 | B | 0 | 1 | RRPE11 | The facility failed to transmit an assessment timely for Resident #238. No harm resulted to the resident. | 2020-09-01 |
| 6852 | 6852 | FAITH HEALTHCARE CENTER | 425009 | 617 WEST MARION STREET | FLORENCE | SC | 29501 | 2017-04-13 | 520 | J | 0 | 1 | J20Y11 | The facility failed to identify quality deficiencies and develop and implement plans of action to correct the quality deficiencies. This includes monitoring the effect of implemented changes and making needed revisions to action plans. This involved accident hazards regarding positioning of residents during meals which resulted in Immediate Jeopardy and Substandard Quality of Care. In addition, lack of dental service, pressure ulcer wound tracking, housekeeping and maintenance and lack of the required 8 hours coverage of an Registered Nurse in the building 7 days a week. Findings include: During the survey from 4/10/2017 through 4/13/2017 care area concerns were noted in the provision of care for the residents by the facility in the areas of accident hazards regarding positioning of residents during meals, lack of dental services, pressure ulcer wound tracking, housekeeping and maintenance, and lack of the required coverage of a Registered Nurse in the building for 8 hours every day. An interview was conducted with the Administrator Staff #23 on 4/13/2017 at 9:05 AM. This surveyor shared with the Administrator the noted concerns in the areas of accident hazards regarding positioning of residents during meals, dental services, pressure ulcer wound tracking, housekeeping and maintenance, and lack of the required coverage of a Registered Nurse in the building for 8 hours every day. She stated their Quality Assurance team meets monthly and none of these care area concerns had been identified in any of their meetings. In the area of accidents hazards the Administrator verified the Quality Assurance team had not identified any concerns with residents not being positioned in bed while feeding themselves in a manner to prevent potential choking and aspiration. Refer to F323. She stated during a meeting a few months ago they had discussed concerns with personalized care plans and updating care plans in the facility but this was after it was brought to their attention in a recent complaint survey. She was not able to produ… | 2017-08-01 |
| 80 | 80 | FAITH HEALTHCARE CENTER | 425009 | 617 WEST MARION STREET | FLORENCE | SC | 29501 | 2017-06-14 | 520 | J | 0 | 1 | J20Y11 | The facility failed to identify quality deficiencies and develop and implement plans of action to correct the quality deficiencies. This includes monitoring the effect of implemented changes and making needed revisions to action plans. This involved accident hazards regarding positioning of residents during meals which resulted in Immediate Jeopardy and Substandard Quality of Care. In addition, lack of dental service, pressure ulcer wound tracking, housekeeping and maintenance and lack of the required 8 hours coverage of an Registered Nurse in the building 7 days a week. Findings include: During the survey from 4/10/2017 through 4/13/2017 care area concerns were noted in the provision of care for the residents by the facility in the areas of accident hazards regarding positioning of residents during meals, lack of dental services, pressure ulcer wound tracking, housekeeping and maintenance, and lack of the required coverage of a Registered Nurse in the building for 8 hours every day. An interview was conducted with the Administrator Staff #23 on 4/13/2017 at 9:05 AM. This surveyor shared with the Administrator the noted concerns in the areas of accident hazards regarding positioning of residents during meals, dental services, pressure ulcer wound tracking, housekeeping and maintenance, and lack of the required coverage of a Registered Nurse in the building for 8 hours every day. She stated their Quality Assurance team meets monthly and none of these care area concerns had been identified in any of their meetings. In the area of accidents hazards the Administrator verified the Quality Assurance team had not identified any concerns with residents not being positioned in bed while feeding themselves in a manner to prevent potential choking and aspiration. Refer to F323. She stated during a meeting a few months ago they had discussed concerns with personalized care plans and updating care plans in the facility but this was after it was brought to their attention in a recent complaint survey. She was not able to produ… | 2020-09-01 |
| 3536 | 3536 | JOHNS ISLAND POST ACUTE | 425368 | 3647 MAYBANK HIGHWAY | JOHNS ISLAND | SC | 29455 | 2018-03-30 | 805 | E | 0 | 1 | MYD711 | The facility failed to ensure the Puree foods were served to meet dietary requirements for residents receiving puree foods for 18 of 128 residents. The findings included: During an observation on 03/28/18 at 08:30 AM of Resident #123's breakfast tray which is sitting in front of her/him. Resident has puree food on the breakfast tray. The items on her/his plate were Puree French toast with chucks of bread crust in the mixture, Cheese grits with a congealed hard mass on the top. The Speech Therapist was working with the resident and trying to prompt her/him to eat. When the Speech Therapist was asked if the consistency of the puree food was the correct consistency, he/she replied, No, and further stated that, There are chunks of the crusts of bread stirred in with the puree french toast. He/She said the correct consistency for puree food is to be smooth consistency throughout with no chunks or hard textures in the mixture. During an observation on 03/29/18 at 10:35 AM of the puree food prepared for lunch, ready for lunch meal service, the Dietary Cook verified that Puree Bread which had been prepared for lunch today had chunks of corners of bread mixed in with the puree bread. During an interview with the Dietary Cook, he/she said that puree food should be a smooth consistency. The Dietary Cook stated: The food processor is broken and they are using blenders to puree food until the parts come in. He/She verified that the puree chicken quesidilla had chunks of cheese on the top. The Dietary Cook, then asked the staff to re-puree the bread to a smooth consistency. The Dietary Cook then skimmed the chunks of cheese from the top of the puree quesidilla. In the Facility Diet Manual signed by the Registered Dietitian, on page 10 of the Diet Manual states 1. Pureed: . All food must be present in a form that is homogenous and cohesive in nature, e.g. foods should have a pudding or mousse like consistency. Most food will be pureed and or strained to ensure a smooth cohesive quality without lumps. The Dietary Department prov… | 2020-09-01 |
| 1978 | 1978 | LAKE CITY SCRANTON HEALTHCARE CENTER | 425149 | 1940 BOYD ROAD | SCRANTON | SC | 29591 | 2018-01-26 | 812 | E | 0 | 1 | OHH911 | The facility failed to ensure that: 1)Food that was leftover from lunch and for service at dinner was reheated to the appropriate temperature guidelines for reheated food and 2) Sanitizer solution for the pot sink was tested correctly. An observation on 1/18/18 at 5:00 PM of Dietary Staff #1 taking food temperatures for dinner was not aware that leftover chicken noodle soup and puree bread from lunch which had been stored in the oven needed to be reheated to an internal temperature of 165 degrees. The temperature of the chicken noodle soup was 161 degrees and Dietary Staff #1 reheated the soup to 165 degrees prior to service after s/he was made aware of the correct reheating temperature. The Puree Bread at dinner service time was 121 degrees and Dietary Staff #1 said he/she was not aware that it needed to be reheated, but after s/he was made aware the puree bread was reheated to an internal temperature of 165 degrees. This observation was verified by the Assistant Dietary Manager. The form titled, Nutrition Orientation, Policies and Procedures, Safe Food Handling and Preparation, .8. Reheat leftovers so that all parts of the food reach a temperature of 165 degrees. During an observation of Dietary Staff #2 on 1/18/18 at approximately 4:45 PM performing the sanitizer testing of the sanitizer solution, he/she tested the first sink compartment which contained the detergent instead of the third compartment sink which contained the sanitizer solution. This observation was verified by the Assistant Dietary Manager. A review of the form titled, Nutrition Orientation, Policies and Procedures, Storage and Cleaning of Dishes and Utensils, states, Follow the proper procedure when washing dishes in the 3-compartment sink Pots and Pans, The first sink is for washing; the second sink is for rinsing and third for sanitizing. Test strips are available from your supervisor and are sued to ensure that the sanitizer in the third sink is strong enough to work properly. | 2020-09-01 |
| 2204 | 2204 | CARLYLE SENIOR CARE OF FLORENCE | 425163 | 133 WEST CLARKE ROAD | FLORENCE | SC | 29501 | 2017-11-16 | 323 | E | 0 | 1 | DKQL11 | The facility failed to ensure a hazard free environment by burning debris 10-13 feet away from the outside grease refuse container and hot water temperatures greater than 120 degrees (1 of 3 units). The findings included: During observation of the grease refuse container on 11/15/17, the container located next to the dumpster was on a concrete slab, and 10 feet away was a 5 foot x 5 foot burn pile with ash and debris. During an interview on 11/16/17 at 11:14am, the maintenance assistant verified the burn pile was 10 feet from the grease trap. S/he stated that it was farther away when they were burning debris from the storms. S/he stated, Someone always stood out here and would have a hose. Verified there was an additional 3 feet concrete slab available if the grease trap was further away. Also verified a small bedside dresser, a wood palette, and a piece of cardboard in the burn pile. During an interview on 11/15/17 with the administrator, s/he stated that a tree had fallen and they had burnt the stump. Review of the facility's Code of Conduct policy on 11/16/2017 at 11:14 AM stated under #6, Surplus, obsolete, or junked property shall be disposed of in accordance with .procedures and with proper authority and approval. During room rounds on 11/13/17 , the water temperature at the bathroom sink for a shared bathroom(Room 3 & 5) was 128 degrees Fahrenheit(F) with a second temperature of 126 degrees F. Water temperatures were measured in all resident rooms with no other elevations noted. Room rounds were completed with the Maintenance Director with an elevated water temperature of 123.6 degrees F again in the shared bathroom (Room 3 & 5). On 11/14/17 at 4:30 PM, the bathroom temperature (Room 3 & 5) was 110.4 degrees F. During an interview with the Maintenance Director on 11/13/17, he/she stated unaware of how to calibrate the digital thermometer. Review of the maintenance monthly log revealed in (MONTH) (YEAR) one room (31) was reviewed with a water temperature of 119 degrees F; (MONTH) (YEAR) one room (1) was rev… | 2020-09-01 |
| 6911 | 6911 | CHESTERFIELD CONVALESCENT CENTER | 425302 | 1150 STATE ROAD | CHERAW | SC | 29520 | 2013-08-29 | 371 | E | 0 | 1 | 2M6X11 | Random observation of the lunch meal on 8/26/13 at 12:45 PM in the day area on the North Wing revealed two CNA's (Certified Nursing Assistants) touching the bread and/or cookies with bare hands. Random observation of the lunch meal on the South Wing on 8/27/13 at approximately 12:40 PM revealed one CNA assisting a resident with the meal and touching the top part of the resident's straw with his/her bare hand. During observation of the 8-26-13 noon meal room tray delivery on both the 100 and 200 Halls, one Certified Nursing Assistant on the 200 Hall was noted to handle the bread with bare hands. A second noon meal observation was conducted for room trays on the 200 Hall on 8-28-13. At 12:36 PM, Certified Nursing Assistant (CNA) #3 delivered a tray to Resident #111 and was observed to take a roll out of the wrapper and place it on the resident's plate using her/his bare hands. At I:05PM, CNA #4 delivered a tray to Resident #59 and was observed to handle and butter the resident's roll with bare hands. Review of the facility's Infection Control policies indicated the following information listed under Holding, transporting and serving foods: Use gloves or utensils when touching food. On the days of the survey, based on observations and review of the facility's Infection Control policies related to serving foods, the facility failed to serve food under sanitary conditions. Multiple staff members were observed touching residents' food and/or utensils with their bare hands while serving lunch on two days of the survey. The findings included: During observation of lunch in the Main Dining Room on 8/26/13 at approximately 1:00 PM, a staff member was observed to open a small bag containing a cookie, take the cookie out of the bag with his/her bare hands, and place the cookie on the resident's plate. During observation of lunch in the Main Dining Room on 8/27/13 at approximately 1:00 PM, staff was again observed to open a package containing a roll, take the roll out of the package with his/her bare hands, and place the roll… | 2017-08-01 |
| 8533 | 8533 | COUNTRYWOOD NURSING CENTER, LLC | 425370 | 1645 RIDGE ROAD | HOPKINS | SC | 29061 | 2012-02-22 | 156 | C | 0 | 1 | BQ7X11 | On two days of the survey, based on record review of the facilities 'Notice of Medicare Provider Non-Coverage', the facility failed to inform each resident at least forty-eight (48) hours before the effective date that the services will end for 3 of 3 Notice of Medicare Provider Non-Coverage letters reviewed. (Resident # 8, A, and B.) The findings included: Resident #8's coverage ended on 7-31-11. Form CMS- was signed by the Responsible Party and dated 7-30-11. Resident A's coverage ended on 1-3-12. Form CMS- was signed by the Resident and dated 1-4-12. Resident B's coverage ended on 10-13-11. Form CMS- was signed by the Resident but not dated. The Social Worker was not available for an interview. An interview with the Administrator on 2-22-12 at 2:35 PM revealed that he agreed that there was a concern with liability notices (CMS Form No. ) not being provided at least forty-eight (48) hours before the effective date that the services will end. | 2016-03-01 |
| 6796 | 6796 | BRIAN CENTER NURSING CARE - ST ANDREWS | 425129 | 3514 SIDNEY ROAD | COLUMBIA | SC | 29210 | 2013-12-13 | 371 | E | 0 | 1 | 10P911 | On two days of the survey, based on observations, interviews, and review of the facility policy titled Meal Distribution , the facility failed to serve and distribute food under sanitary conditions. During meal observation, Certified Nursing Assistants on the 200 Unit and 300 Unit were observed to handle food items with their bare hands and/or touch items in resident rooms without washing/sanitizing hands. The deficient practice had the potential to affect multiple residents on the two units. The findings included: On 12/9/13 at approximately 12:40 PM, CNA #1 was observed to deliver trays, set up and assist residents without handwashing or sanitizing of hands between residents. CNA #1 was observed to touch bread (using his/her bare hand) located on the resident's tray during one observation. On 12/13/13 at 11:39 AM, after asking CNA #1 if he/she could think of anything that could have caused the surveyor concern during the tray distribution, he/she could not identify the concerns. The surveyor at that time shared with CNA #1 what had been observed. During an observation of the lunch meal on the 300 Unit on 12/9/13 at approximately 12:25 PM and again on 12/12/2013 at approximately 12:23 PM revealed Certified Nursing Assistant (CNA) # 2 touching residents bread with bare hands while removing the bread from the wrapper and applying butter. An interview with CNA #2 on 12/12/2013 at approximately 1:30 PM confirmed the surveyor's observations. Review of the facility policy titled Meal Distribution states under section 7 the following: Nursing staff and other authorized/trained facility staff serve resident's meals using safe food handling practices. | 2017-09-01 |
| 9962 | 9962 | THE PRESTON HEALTH CENTER | 425325 | 87 BIRD SONG WAY | HILTON HEAD ISLAND | SC | 29926 | 2010-12-09 | 156 | C | 0 | 1 | KWBU11 | On two days of the survey, based on observations, interview, and review of "Residents Rights" in the facility's Admission Packet, the facility failed to prominently display written information on how to receive refunds for previous payments of Medicare benefits. The findings included: On two days of the survey, written information of how to receive refunds for previous payments covered by Medicare benefits had not been prominently displayed. Random observations on 12-07-10 and 12-08-10 of a posting observed on the bulletin board in the facility entrance foyer revealed no information on how to receive refunds for previous payments covered by Medicare. During an interview on 12-08-10 at approximately 1:40 PM with the Director of Social Services, she revealed she did not know refund information for previous payments of Medicare benefits had to be prominently displayed. Review of "Residents Rights" in the facility's Admission Packet stated,"The facility must prominently display in the facility written information and provide to residents and applicants for admission oral and written information about how to apply for and use Medicare and Medicaid benefits, and how to receive refunds for previous payments covered by such benefits". | 2014-09-01 |
| 7848 | 7848 | LAUREL BAYE HEALTHCARE OF GREENVILLE | 425042 | 661 RUTHERFORD RD | GREENVILLE | SC | 29609 | 2012-11-02 | 241 | D | 0 | 1 | J1GK11 | On two days of the survey, based on observations, facility staff failed to promote care in a manner to enhance each resident's dignity and respect for residents eating in the 300 Unit Dining Room. Staff applied clothing protectors without asking permission or considering the residents' preferences for 5 of 5 residents eating in the area. ( three unsampled residents and sampled Residents #27 and #120). The findings included: Observation of the 300 Unit Dining Area on 10/29/12 at approximately 1:09 PM revealed five residents were being assisted to tables and set-up for lunch by two staff members. Further observation indicated that the two staff members applied clothing protectors to all of the residents and without asking any of the residents if they wanted the clothing protector. In addition, the staff members did not inform the residents prior to applying the clothing protectors. Resident #27 was among the residents eating in the dining area along with four unsampled residents. Observation of the 300 Unit Dining Area on 10/31/12 at approximately 1:10 PM again revealed five residents in the dining area. Two staff members were assisting residents to tables and applying clothing protectors without asking or informing the residents. A staff member was in the process of feeding Resident #27 when another staff member came up to the resident and applied a clothing protector without asking the resident or informing the resident what he/she was doing. | 2016-10-01 |
| 6649 | 6649 | MILLENNIUM POST ACUTE REHABILITATION | 425105 | 2416 SUNSET BOULEVARD | WEST COLUMBIA | SC | 29169 | 2013-09-26 | 253 | D | 0 | 1 | BPWQ11 | On two days of the survey, based on observations and interview, the facility failed to provide adequate housekeeping services related to the cleaning of a shower room and the nursing assistant cleaning of a multi-resident use shower gurney on Unit 2. (1 of 2 units reviewed for cleanliness of shower rooms/equipment) The findings included: During the initial tour on 9/23/13 at approximately 10:20 AM, the shower room at the end of the front hall on Unit 2 was observed to lack a privacy curtain, a soiled glove and other debris were observed on the floor and covering the drain. In another shower room, a shower gurney was observed with debris under the shower mat and a large black area of an unknown substance also under the mat. A subsequent view of the same areas on 9/24/13 in the afternoon, revealed no change in the condition of either areas. The concern related to the shower gurney was verified by the staffing coordinator who stated the gurney should be cleaned by the nursing assistants after each use. The condition of the shower room was verified by Nurse Consultant # 2 who stated s/he would get someone to take care of it right away. . | 2017-11-01 |
| 4964 | 4964 | BAYVIEW MANOR | 425067 | 11 TODD DRIVE | BEAUFORT | SC | 29901 | 2015-08-17 | 167 | C | 0 | 1 | YI1S11 | On three days of the survey, based on observations and interview, the results of the most recent survey of the facility conducted by State surveyors was not available for examination. The findings included: Observation of the survey results book on 8/10/15, 8/11/15, and 8/12/15 revealed no survey results were available for examination. During an interview with with Director of Nursing on 8/14/15 at approximately 4:00 PM, he/she stated the results had been removed so that a new copy of the results could be placed in the book. | 2019-06-01 |
| 8556 | 8556 | SAVANNAH GRACE AT THE PALMS OF MT PLEASANT | 425404 | 1010 LAKE HUNTER CIRCLE | MOUNT PLEASANT | SC | 29464 | 2012-08-01 | 425 | E | 0 | 1 | D6DO11 | On the the days of the survey, based on observations, interview, manufacturer package insert and Facts and Comparison (updated monthly) the facility failed to follow a procedure to ensure that expired medications were not stored in 1 of 1 medication rooms. The finding includes: One opened vial (approximately half full) of Tuberculin Purified Protein Derivative/Aplisol, 5 TU (test units)/0.1 ml (milliliter) manufactured by JHP Pharmaceuticals, Lot 4 was found in the refrigerator door. The manufacturer package insert and Facts and Comparisons, page 2001, state to Discard vials in use for more than 30 days because of possible oxidation and degradation that may affect potency. This finding was verified by the DON (Director of Nursing) on 7/31/12 at approximately 10:30AM. | 2016-03-01 |
| 9776 | 9776 | TUOMEY REG MED CTR SUBACUTE SC | 425346 | 129 N WASHINGTON ST | SUMTER | SC | 29150 | 2011-10-05 | 371 | E | 0 | 1 | 9S8C11 | On the the days of the Recertification Survey, based on observation, interview and record review, the facility failed to follow proper food handling practices to prevent foodborne illnesses. A facility cook did not demonstrate the proper procedure for calibrating a thermometer. The finding include: On 10/4/11 at 11:07 AM, during temperature testing from the steam table, Cook #1 was observed calibrating the thermometer. Cook #1 placed the thermometer into a cup of ice water for several seconds then removed the thermometer and calibrated it to 32 degrees in room air. The cook was not aware that the thermometer had to stay in the water to calibrate. The cook and the Food Service Director (FSD), a Licensed Dietician, confirmed that the cook removed the thermometer from the water to calibrate. Upon interview, the cook stated "I always do it that way." The Food Service Director stated that thermometers are usually calibrated once a day or if the thermometer is dropped. Record review of in-services revealed that Cook #1 attended an in-services on 1/19/11 and 5/10/11 that included calibrating thermometers. In addition, the FSD provided a copy of a Certificate of Completion for an Employee Food Safety Training for Cook #1. During an interview on 10/5/11 at 8:50 AM, the FSD stated the facility had no policy and procedure for calibrating a thermometer and confirmed that the facility should have a policy for when to calibrate and a procedure for how to calibrate a thermometer.. | 2014-12-01 |
| 8178 | 8178 | RICE NURSING HOME | 425387 | 100 FINLEY ROAD | COLUMBIA | SC | 29203 | 2012-09-12 | 241 | E | 0 | 1 | 270S11 | On the days the Recertification survey, based on observations and interviews, the facility failed to promote care for residents in a manner that enhanced their dignity and respect related to dining in 1 of 2 dining rooms observed. Random residents observed during three meals were not served sequentially while other residents at the same table were eating or being fed by staff. The findings included: Random lunch meal observation on 9/11/12 at approximately 12:30 PM in the Rice Skilled Unit revealed 6 tables in the dining room with 2 to 4 residents seated at the tables. Staff was observed delivering food to the residents seated at the tables who could feed themselves or those that had a family member/sitter to feed them before serving the residents that required staff assist with feeding. Staff was observed delivering meals to residents in their rooms before ensuring all the residents seated at the same table in the dining room were served. An observation at 12:30 revealed a sitter was feeding one (1) resident at a table while three (3) other residents were not served or eating for 15 to 20 minutes. Staff was also observed having conversations with each other instead of engaging the residents during the meal. A resident was noted to be seated at the same table with his/her spouse who was served and eating while the resident was not served or eating for over 15 minutes. A random dinner observation on 9/11/12 at approximately 6 PM in the Rice Skilled Unit revealed staff delivering meals to residents seated in the dining room who could feed themselves, before serving the residents at the same table that required assistance by staff with eating. An observation revealed a sitter feeding one resident and a staff member feeding one resident while two residents seated at the same table was not served. A staff member was observed delivering a food tray to a resident seated at the table with the sitter and staff member present. The staff member left the resident's food uncovered for 10 to 15 minutes prior to feeding the res… | 2016-07-01 |
| 8961 | 8961 | LANCASTER CONVALESCENT CENTER | 425155 | 2044 PAGELAND HWY | LANCASTER | SC | 29721 | 2012-08-01 | 371 | F | 0 | 1 | XX2V11 | On the days of the the survey, based on observation and interview, the facility failed to distribute and serve food under sanitary conditions. Staff did not know how to appropriately take food temperatures and a fan with dust build-up was blowing on clean dishes. The findings included: During observation on 7/31/12 at approximately 11:25 a.m. in the facility kitchen, it was noted that the cook placed the thermometer so the tip was resting against the bottom of the metal serving pans while taking food temperatures. The cook confirmed that the tip of the thermometer was resting against the bottom of the metal serving pans. During observation on 7/31/12 at approximately 12:20 p.m. in the C/D hall dining room, the dietary aide calibrated the thermometer in a pan of ice water before taking temperatures on the trayline. Observation revealed that the thermometer dial was below 0 degrees Fahrenheit and the dietary aide confirmed the temperature reading. The dietary aide proceeded to start checking food temperatures without adjusting the dial. When the steak and mechanical soft beef temperatures were below 100 degrees Fahrenheit, the dietary aide asked the Certified Dietary Manager (CDM) for another thermometer because the one being used was not working. The thermometer was placed back in a pan of ice water and the CDM confirmed that the temperature was below 0 degrees Fahrenheit. The CDM asked the dietary aide to adjust the dial of the thermometer so that it read 32 degrees Fahrenheit. The dietary aide removed the thermometer from the pan of ice water and attempted to adjust the dial. The dietary aide adjusted the dial, but was not able to calibrate the thermometer appropriately. It was also noted during the observation that the dietary aide placed the thermometer so the tip was resting against the bottom of the metal serving pans while taking food temperatures. The dietary aide confirmed that the tip of the thermometer was resting against the bottom of the metal serving pans. The dietary aide stated that they are the pe… | 2015-09-01 |
| 9546 | 9546 | WHITE OAK MANOR - SPARTANBURG | 425024 | 295 EAST PEARL STREET | SPARTANBURG | SC | 29303 | 2011-03-02 | 441 | E | 0 | 1 | XRFP11 | On the days of the suvey, based on observation and review of the facility policy entitled "Hand Hygiene" copied/ provided on 3/2/11 at 12:00 PM by the Registered Dietitian (RD) , the facility failed to provide a sanitary environment to help prevent the development of disease and infection in 2 of 3 dining rooms observed. Staff was observed not washing hands between resident to resident contact, not sanitizing tables between staff meals and resident meals, and staff touched food with bare hands. Findings included: During lunch observation in the Restorative Dining room, on 3/1/11 at 12:25 PM, a Certified Nursing Assistant (CNA) was observed picking up one residents spoon to feed a resident and then picked up a different residents spoon to feed that resident. The same CNA picked up a residents dirty napkin to wipe the resident's face and then picked up the other resident's spoon and continued feeding that resident using the same hand. A random observation of a CNA during lunch revealed that the CNA provided a drink to a resident touching the straw, then picked up another resident's drink touching the straw. The CNA then touched a resident's clothing protector to wipe the residents mouth. With the same hand the CNA touched another resident's hand to help that resident put a spoon to the resident's mouth. Five CNA's in the dining room helping 2 residents at a time were observed touching resident's spoons, napkins, hands, and drinks for both residents and did not sanitize hands between resident contact. During observation at the supper meal on 3/1/11 at 5:46 PM in the Restorative Dining room, a CNA assisting three residents with their meals. The CNA wiped one residents mouth with the resident's clothing protector, assisted another resident by touching her hand to give her a bite of food, and then took a knife away from the third resident and handed the resident a spoon. The CNA continued to help all three residents throughout the meal and did not sanitize her hands. Per review of the policy entitled "Hand Hygiene" pro… | 2015-03-01 |
| 8258 | 8258 | SAINT MATTHEWS HEALTH CARE, LLC | 425170 | 601 DANTZLER STREET | SAINT MATTHEWS | SC | 29135 | 2012-04-11 | 371 | F | 0 | 1 | EZCC11 | On the days of the surveys, based on observations and interview, the facility failed to ensure that the insulated tops that cover the plates and foods served to resident's were used under sanitary conditions. The findings included: Observations on 4-10-2012 at 11:45 AM during preparation of the lunch meal revealed insulated covers stacked on a stainless steal counter near the tray line. Further observation of the insulated covers revealed dried- on white spots on the inside of the covers where there was potential for food contact. An interview with the District Manager of dietary services on 4-10-2012 confirmed this observation and he immediately began to sanitize the inside of the covers prior to utilization. He indicated that out of the approximately 150 insulted covers in kitchen inventory about one half were re-sanitized. When asked if the soiled covers would have been continued to be used if not identified by the survey process, he indicated a yes response. | 2016-06-01 |
| 7570 | 7570 | BETHEA BAPTIST HEALTHCARE CENTER | 425372 | 157 HOME AVENUE | DARLINGTON | SC | 29532 | 2013-02-27 | 160 | C | 0 | 1 | U05T11 | On the days of the survey,based on record review, review of facility policy related to conveyance of funds, and interview, the facility failed convey funds to the Estate of the resident in a timely manner for 2 of 3 residents' reviewed for Conveyance of Funds. The finding included: During an interview with the Director of Financial Services on 02/27/2013 at 12:05 PM,s/he explained that funds from one resident were used to pay the balance on the resident's account. S/he stated that there was no documentation authorizing conveyance of funds to the facility. The Director of Financial Services stated that s/he can not recall the conversation s/he possibly had with the resident's daughter, giving her (him) permission to pay the balance owed. The Director of Financial Services stated that the funds regarding the other resident had not been conveyed because the resident has an outstanding balance to the facility and s/he did not think that the facility would get their money from the family member. Review of the information regarding Personal Funds provided in the resident Admission Packet revealed If a Resident who has personal funds deposited with the Facility expires, the Facility shall refund the Resident's account balance within (30) days and provide a full accounting of these funds to the individual, probate jurisdiction administering the Resident's estate, or other entity as required by State law or regulation. | 2017-01-01 |
| 8593 | 8593 | MULLINS NURSING CENTER | 425312 | 518 S MAIN STREET | MULLINS | SC | 29574 | 2011-11-22 | 371 | F | 0 | 1 | UMUL11 | On the days of the survey, through observation, interview and record review the facility failed to ensure that foods were prepared and served under sanitary conditions for 1 of 1 lunch meals observed being prepared by kitchen staff who were unable to ascertain the validity of food temperatures because staff were unable to demonstrate how to calibrate the thermometer prior to monitoring food temperatures on the tray line. The findings included: Observation on 11-21-11 at approximately 10:50 AM revealed the kitchen supervisor was preparing to temp the trayline. This writer asked the kitchen supervisor to calibrate the thermometer. The kitchen supervisor stated the thermometer had to be calibrated to 32 degrees. Continued observations revealed she was unable to calibrate the thermometer she was using. A stem thermometer was then used but the tool was missing that is used to calibrate it to 32 degrees Fahrenheit. A third thermometer was then used but again the supervisor was unable to calibrate it. An interview with the kitchen supervisor revealed that she had never calibrated a thermometer before. An interview with the Dietary Manager revealed that he also could not calibrate a thermometer. | 2016-02-01 |
| 9084 | 9084 | HOPE HEALTH & REHAB OF MARIETTA, | 425307 | 2906 GEER HWY | MARIETTA | SC | 29661 | 2012-04-11 | 520 | E | 0 | 1 | 4NXH11 | On the days of the survey, the facility's failed to identify a concern and develop a plan of action for residents not receiving the diets ordered by the physician. Resident #3 did not receive diets as ordered and had unrecognized gradual weight loss. The resident had interventions related to weight loss prior to being placed on Hospice. The findings included: On 4/9/2012, the Director of Nursing (DON) stated that residents not receiving the ordered diet had been previously identified. A plan of correction had been developed and was in process. The surveyor asked if she would share the action plan. On 4/10/12, the DON provided forms with no heading which was dated 4/2 and 4/3/12 for review. Under the "ISSUE" column, Resident #3 was not identified as not receiving the ordered diet. Resident #3 was ordered a ground meat diet. The resident did not receive the correct diet for 2 meal observation during the days of the survey. Some of the residents identified on the form did not have documentation under the section entitled "Facility Action Plan", "Goal Date" or "Date Resolved". The issues had been identified on 4/2/and 4/3/12. During pre-exit sharing, the surveyor shared her concerns with the facility's plan of action not recognizing the resident's who were not listed on the facility form with weight loss with no intervention prior to being placed on Hospice. There were also residents with no action plan or goal date. The Nursing Home Administrator (NHA), the DON and the Corporate Consultant were present. The consultant then stated that the forms provided were not QA forms and that they were just her "work sheets" from her visit on those dates. She also stated that the QA forms were not complete because QA meeting for the month had not been done. When asked by the surveyor if the issues were in QA, the consultant stated that the forms were part of the QA. The DON stated that she would have been working on the Action Plan but the survey team entered the building. However, for concerns identified on 4/2 and 4/3, goal da… | 2015-08-01 |
| 6654 | 6654 | MILLENNIUM POST ACUTE REHABILITATION | 425105 | 2416 SUNSET BOULEVARD | WEST COLUMBIA | SC | 29169 | 2013-09-26 | 315 | D | 0 | 1 | BPWQ11 | On the days of the survey, the facility failed to ensure that Resident # 79 who was incontinent of bladder received appropriate treatment and services to restore as much normal bladder function as possible. Resident # 79 was not fully assessed related to his/her known urinary incontinence and did not receive services to restore as much bladder function as possible. (1 of 3 sampled residents reviewed for incontinence) Cross refer to F-272 as it relates the failure of the facility to fully assess Resident # 79's incontinence status. The findings included: Resident # 79 admission assessment documented a Brief Interview Mental Status of 14 (no cognitive impairment). The hospital transfer record documented the resident as being incontinent, urinating without difficulty. Review of the task records for toileting documented the resident was incontinent 20 days out of the first 22 days on admission, with one day not recorded and one day indicating the resident was continent. On 9/26/13 at 9 am, the Director of Nursing (DON) was interviewed as to how the facility ensures a resident who is admitted with incontinency is evaluated for the need for restorative toileting services. The DON explained that when the admission assessment is completed and a resident is noted as incontinent, a computer prompt should indicate a further screen should be completed that assesses the reason for the incontinency and assesses the resident's risk factors, medications, bladder irritants, diagnostic procedures, appliances, type of incontinence and care plan information. The DON after looking in the computer and printing out the assessment, stated this was not completed for Resident #79. A copy of the facility provided Urinary Incontinence Management Practice Guide noted the following: Review of the hospital discharge records, transfer sheets or other data regarding the patient's history of, or risk factors for incontinence. Interview the patient and family or responsible party about the patient's history if incontinence and risk factors. If pos… | 2017-11-01 |
| 7565 | 7565 | HEARTLAND OF WEST ASHLEY REHAB AND NURSING CENTER | 425362 | 1137 SAM RITTENBURG BLVD | CHARLESTON | SC | 29407 | 2012-10-17 | 323 | E | 0 | 1 | G4MF11 | On the days of the survey, based upon observations and interviews, the facility failed to follow a procedure to assure that oxygen tanks were stored in a manner which would prevent accidents in 1 of 4 medication rooms. The findings include: On 10-15-2012 at approximately 11:50 AM, inspection of the 2 North medication room revealed 5 oxygen tanks sitting on the floor which were unsecured by any means to the wall or floor. RN (Registered Nurse) # 1 verified this finding on 10-15-2012 at approximately 11:57 AM and stated that the oxygen tanks had just been resupplied and should have been secured in a safe manner in the metal storage rack. During initial tour on 10/15/12 of Unit 1 South, the oxygen storage closet was unlocked and one unsecured oxygen tank was noted near the door. | 2017-01-01 |
| 7543 | 7543 | FRASER HEALTH CENTER | 425150 | 300 WOOD HAVEN DRIVE | HILTON HEAD ISLAND | SC | 29928 | 2013-02-12 | 431 | D | 0 | 1 | PESY11 | On the days of the survey, based upon observation,record keeping, interviews and manufacturer package insert, the facility failed to follow a procedure to assure that medications were stored at the proper temperature in 1 of 1 medication rooms. The findings include: On 2/10/13 at approximately 4:00 PM inspection of the medication room refrigerator revealed the following: -One Levemir Flexpen, belonging to Resident A, was dated as having been opened 2/9/13. The manufacturer's package insert states Once in use Levemir Flexpen should be kept at room temperature, below 86 degrees Fahrenheit, for up to 42 days. Do not store a Levemir Flexpen that you are using in the refrigerator. This finding was verified by LPN (Licensed Practical Nurse) #1 on 2/10/13 at approximately 4:45 PM. LPN #1 stated that he/she did not know that Levemir Flexpen should not be returned to the refrigerator once opened. | 2017-01-01 |
| 8198 | 8198 | FAITH HEALTHCARE CENTER | 425009 | 617 WEST MARION STREET | FLORENCE | SC | 29501 | 2012-08-22 | 174 | E | 0 | 1 | RTYQ11 | On the days of the survey, based on the Group Meeting concerns and interviews, the facility failed to provide a portable phone that would function adequately throughout the building or in the 3 of 3 nursing unit halls . The findings included: During the Resident Group Meeting on 8/21/12 at 3:30pm, 2 of 3 Residents who attended the meeting voiced concerns related to portable phone usage. The facility had portable phones on all 3 nursing units. The Resident's stated the Staff bring the portable phone to you, but it will not work everywhere in the building. During an interview with Gwendolyn Turner, Social Worker (SW) on 8/22/12 at 9:45am, Surveyor reviewed the Resident's concerns discussed at the Group Meeting. The SW was not aware that the portable phones would not work throughout the building. During an interview with the SW on 8/22/12 at 2:30pm, the SW verified that the portable phones on all 3 nursing units worked half way down the hall then would shut off. The SW stated the Administrator verified the portable phones did not work in all areas of the building and was working on replacing the portable phones at this time. Review of the Resident Concern/Grievance Response Form, on 8/22/12 at 2:45pm, verified The facility replaced all cordless phones at each nurses station for the residents to use when in room. | 2016-06-01 |
| 7895 | 7895 | HERITAGE HOME OF FLORENCE INC | 425154 | 515 SOUTH WARLEY STREET | FLORENCE | SC | 29501 | 2012-08-28 | 156 | C | 0 | 1 | 3YB411 | On the days of the survey, based on review of the residents' funds and interview, the facility failed to provide the mandated Liability Notices: Skilled Nursing Facility Advanced Beneficiary Notices (SNFABN) Denial Letters for 3 of 3 sampled residents. The findings included: Review of the residents' funds on 08/28/2012 at 1:00 PM revealed that the mandated Liability Notices: SNFABN Denial Letters were not provided for 3 of 3 sampled residents. After informing the Administrator of the findings, she verified that the mandated Liability Notices: SNFABN Denial Letters were not provided for 3 of 3 sampled residents. She revealed that she did have the Liability Notices: SNFABN Denial Letters, but was unaware that it should have been provided to the residents. | 2016-10-01 |
| 8163 | 8163 | L.M.C.- EXTENDED CARE | 425321 | 815 OLD CHEROKEE ROAD | LEXINGTON | SC | 29072 | 2012-10-24 | 156 | C | 0 | 1 | UOMZ11 | On the days of the survey, based on review of the residents' funds and interview, the facility failed to provide the mandated Liability Notices: Skilled Nursing Facility Advanced Beneficiary Notices (SNFABN) Denial Letters for 2 of 3 residents. The findings included: Review of the residents' funds on 10/24/12 revealed that the mandated Liability Notices: SNFABN Denial Letters were not provided for 2 of 3 sampled residents. During an interview with the Business Office Personnel #1 at the time of review, he/she verified that the SNFABN Denial Letters had not been done as required. | 2016-07-01 |
| 7896 | 7896 | HERITAGE HOME OF FLORENCE INC | 425154 | 515 SOUTH WARLEY STREET | FLORENCE | SC | 29501 | 2012-08-28 | 160 | C | 0 | 1 | 3YB411 | On the days of the survey, based on review of the residents' funds and interview, the facility failed to provide documentation from probate to authorize the conveyance of the residents' funds to the individual or to the funeral home for 5 of 5 sampled residents. The findings included: Review of the residents' funds on 08/28/2012 at 2:15 PM revealed that there was no documentation from probate to authorize conveyance of the residents' funds to the individual responsible party or to the funeral home for 5 of 5 sampled residents. When the findings were brought to the Administrator's attention, she stated that she was not aware that she needed authorization from probate to convey the residents' funds to the individual or to the funeral home. | 2016-10-01 |
| 9489 | 9489 | CHESTERFIELD CONVALESCENT CENTER | 425302 | 1150 STATE ROAD | CHERAW | SC | 29520 | 2011-04-21 | 226 | D | 1 | 1 | 9LOU11 | On the days of the survey, based on review of the facility's written abuse policies, the facility failed to follow abuse policies related to reporting injuries of unknown origin and possible neglect to the State Survey and Certification agency. The findings included: Review of the facility's written abuse policies and procedures revealed the following: "Definitions Section F - Neglect means failure to provide goods and services necessary to avoid physical harm, mental anguish or mental illness." Section III. Reporting - A. - "Alleged violations involving abuse of any kind, neglect, injuries of unknown origin, misappropriation of resident property, involuntary seclusion or corporal punishment are reported accordingly." Section III. Reporting - E. -" The initial report must be phoned or faxed by the Director of Nursing or Administrator or designees within 24 hours to appropriate agencies to include Ombudsman, DHEC Certification and Licensure and/or appropriate law enforcement agencies." Review of reportable incidences during the survey process revealed the facility did not follow the reporting guidelines related to injuries of unknown origin and possible neglect. The incidences were not reported to the State survey and certification agency as required. | 2015-04-01 |
| 7486 | 7486 | VIBRA HOSPITAL OF CHARLESTON -TCU | 425405 | 1200 HOSPITAL DR 2ND FL | MOUNT PLEASANT | SC | 29464 | 2014-03-21 | 356 | C | 0 | 1 | LREU11 | On the days of the survey, based on review of the facility's Daily Nurse Staffing Postings and interview, the facility failed to accurately post the staffing data correctly at the beginning of each shift. (11 of 80 days) The findings included: Review of the POS [REDACTED] 01-20-14: 7A to 7P shift: no documentation of the facility census 01-24-14: 7A to 7P shift: no documentation of the facility census 02-16-14: 7P to 7A shift: no documentation of the facility census 02-18-14: 7A to 7P shift: no documentation of the facility census 03-03-14: 7A to 7P shift: no documentation of the facility census Incorrect Actual Hours Worked: 7A to 7P shift: 02-04-14: Certified Nursing Assistant (CNA) Hours reflected 32 hours instead of actual hours worked of 24 02-05-14: Certified Nursing Assistant (CNA) Hours reflected 32 hours instead of actual hours worked of 24 02-13-14: Certified Nursing Assistant (CNA) Hours reflected 32 hours instead of actual hours worked of 24 02-14-14: Certified Nursing Assistant (CNA) Hours reflected 32 hours instead of actual hours worked of 24 02-18-14: Certified Nursing Assistant (CNA) Hours reflected 32 hours instead of actual hours worked of 24 Omission of Category of Staff: Licensed: Staff Total: 7A to 7P shift: 02-12-14: no documentation provided 02-16-14: no documentation provided During an interview on 03-21-14 at approximately 11:15 AM with the Director of Nursing, he/she, after Review of the POS [REDACTED]. | 2017-03-01 |
| 7469 | 7469 | SAVANNAH GRACE AT THE PALMS OF MT PLEASANT | 425404 | 1010 LAKE HUNTER CIRCLE | MOUNT PLEASANT | SC | 29464 | 2013-03-13 | 156 | E | 0 | 1 | 7OB011 | On the days of the survey, based on review of the facility's Admission Packet and interview, the facility failed to provide a listing of the amount of charges in the Admission Packet for those items and services that the facility offers and for which the resident may be charged. The findings Included: On 03/12/2013 at 4:00 PM review of the Admission Packet revealed a Special Services Authorization Form that states Please indicate whether you authorize the following services to be provided for the above named Resident. As there are charges for some of the services, we are required to obtain permission prior to the authorization of the service .See listing. On 03/13/13 at 9:50 AM during an interview with the Social Service Director, he/she stated that the person responsible for the Admission Packet was not available and he/she is filling in for that person. He/she reviewed the Admission Packet and verified that there was no listing in the Admission Packet of the amount charges for those items and services for which the resident may be charged | 2017-03-01 |
| 9280 | 9280 | GREENWOOD TRANSITIONAL REHABILITATION UNIT | 425388 | 1530 PARKWAY | GREENWOOD | SC | 29646 | 2012-06-12 | 226 | D | 0 | 1 | 4KJK11 | On the days of the survey, based on review of the facility policy entitled "Abuse, Assault, Neglect, and Misappropriation of Property-Victims of", the facility failed to fully develop and implement a policy which included injuries of unknown origin, reporting, the required time frames for reporting, and all of the appropriate agencies to whom to report. Additionally, the facility failed to implement the policy when a PCT/CNA who neglected to clean a multi- resident use Glucometer between residents, was allowed to continue to work once the neglect was discovered. The findings included: Review of the facility provided Abuse policy indicated that there was no information in the policy that addressed the required time frames for reporting such as the initial 24 hour report and a 5 day follow up report for injuries of unknown origin to the appropriate state agency (Certification), Certified Nursing Assistant Registry or The Department of Labor and Licensing for nurses. Review of the facility's policy entitled "Abuse, Assault, Neglect, and Misappropriation of Property-Victims of " revealed on page 1 of 4 in the second paragraph of Roman Numeral II "Policy": "Neglect is consider (sic) a form of abuse and is defined as the failure to provide good and services necessary to avoid physical harm,,," Under Roman Numeral III "Procedure"on page 3 of 4, section "E. Reporting" included: "1. Any allegations of abuse or neglect must be investigated thoroughly. 2. No person that reports a possible abuse or neglect will be retaliated against. Residents will be immediately protected from any abuse during the investigative process. 3. Continuous observation of any interaction between the resident and subject is required. At no time will b) Family/Visitors/Other Residents will be asked to not visit or interaction (sic) with the resident during the investigation time. a) Immediate removal of the suspect from resident care areas or placed on administrative leave will occur b) If the findings prove to not be founded, the staff will be rein… | 2015-06-01 |
| 8338 | 8338 | ANCHOR HEALTH & REHAB OF AIKEN | 425311 | 550 EAST GATE DRIVE | AIKEN | SC | 29803 | 2012-06-06 | 156 | C | 0 | 1 | TXK811 | On the days of the survey, based on review of the admission packet and interview with the Admissions Director, the facility failed to ensure that the residents admitted under Medicaid and Medicare were informed both orally and in writing of charges for non-covered items and services. The findings included: During the review of the admission packet on 6/6/12 at approximately 9 AM, it was noted that there was no documentation of charges for items and services listed on the Additional Non-Covered Charges form (GP-AP/AC (Rev. 4/05) which is utilized by the facility. There was no documentation of charges for services not covered by Medicare. During an interview with the Admissions Director on 6/6/12 at approximately 10:15 AM, she stated that she verbally goes over the Additional Non-Covered Charges form with the resident or responsible party, but does not complete the form in writing during the admissions process. | 2016-05-01 |
| 7175 | 7175 | PRINCE GEORGE HEALTHCARE CENTER | 425295 | 901 MAPLE STREET | GEORGETOWN | SC | 29440 | 2013-05-30 | 166 | E | 0 | 1 | 2OTX11 | On the days of the survey, based on review of the Residents' Council Minutes and interviews, the facility failed to actively seek a resolution and keep the residents' apprised of its progress toward resolution. The findings included: On 05/19/2013 at 2:30 PM, this surveyor obtained permission from the Resident's Council President to read the minutes from the Resident's Council Meeting. Review of the minutes for the months of February, March, and April 2013 revealed the residents' complained of Cold food, Call light problem, Missing phone calls, phone is not available some residents hog the phone. Further review of the Residents' Council Minutes revealed that there were no documentation regarding resolutions by the facility or any documentation that the residents' were appropriately apprised of the facility's progress towards a resolution. On 05/20/2013 at 10:00 AM during the Group Interview, the residents' stated that they were not sure that the facility followed up on their complaints because there has been no response from anyone regarding their complaints. On 05/23/2013 at 2:15 PM, during an interview with the Administrator, when asked if there were documentation responding to the residents' complaints expressed during the Resident's Council Meetings, he/she stated that there were no documentation, but s/he has spoken to the residents. He/she stated I receive all the minutes from the Residents' Council Meeting and I was under the impression that the Activities Director was informing the residents regarding resolution to to their complaints. The Administrator spoke to the Dietary Manager and the Activity Director in the presence of this surveyor. The Dietary Manager verified that he/she met with some of the residents on 04/18/2013 and on 04/25/2013. However, there were no resolution presented at either meeting. The Activity Director verified that there were no resolution presented to the residents regarding their complaints, nor were the residents appropriately apprised of the facility's progress toward resolut… | 2017-05-01 |
| 6671 | 6671 | MAGNOLIA MANOR - GREENWOOD | 425172 | 1415 PARKWAY DRIVE | GREENWOOD | SC | 29646 | 2014-02-19 | 156 | C | 0 | 1 | 0RV111 | On the days of the survey, based on review of the Liability Notices and Beneficiary Appeal Rights and interview, the facility did not provide proper notification of medicare provider-non coverage for 3 of 3 residents reviewed. The findings included: On 02/18/14 at approximately 2:45 PM during a review of three residents remaining in the facility, who had Medicare Part A coverage days remaining but were denied coverage, revealed that form for Notice of Medicare Provider Non-Coverage for Beneficiary Appeal Rights (NONMC) was not used. Interview with the Admissions Director verified the facility was not using the required form for residents remaining in the facility who had not used all their Part A days. | 2017-11-01 |
| 8440 | 8440 | FRANKE HEALTH CARE CENTER | 425374 | 1885 RIFLE RANGE ROAD | MOUNT PLEASANT | SC | 29464 | 2012-06-27 | 159 | C | 0 | 1 | 4K4I11 | On the days of the survey, based on review of residents' funds and interview, the facility failed to ensure residents had access to petty cash on an ongoing basis. The findings included: On 06-27-12 at approximately 10:00 AM, review of the residents' funds revealed residents did not have access to petty cash on an ongoing basis. During an interview with the Accounts Manager, he revealed residents had access to petty cash during the week from Monday through Friday but not on the week-ends. | 2016-04-01 |
| 7587 | 7587 | MYRTLE BEACH MANOR | 425070 | 9547 HIGHWAY 17, NORTH | MYRTLE BEACH | SC | 29572 | 2012-09-26 | 156 | C | 0 | 1 | CTH411 | On the days of the survey, based on review of residents' funds and interview, the facility failed to complete the required Centers for Medicare and Medicaid Services (CMS) Form, The Medicare Liability Notices and Beneficiary Appeal Rights and further failed to complete 3 of 3 mandated Liability Notices: Skilled Nursing Facility Advanced Beneficiary Notices (SNFABN) in a timely manner for three of three residents. The findings included: On 09-26-12 at approximately 11:45 AM, review of 3 of 3 residents' funds revealed the facility had not completed the required CMS Form, The Medicare Liability Notices and Beneficiary Appeal Rights or the mandated SNFABNs in a timely manner. During an interview on 09-26-12 at approximately 11:45 AM with the Director of Social Services, she revealed she had not been using the required CMS Form and had not been informed to use the SNFABN form. | 2016-12-01 |
| 7689 | 7689 | COUNTRYWOOD NURSING CENTER, LLC | 425370 | 1645 RIDGE ROAD | HOPKINS | SC | 29061 | 2013-04-25 | 156 | C | 0 | 1 | 4NZG11 | On the days of the survey, based on review of residents' funds and interview, the facility failed to complete the required Centers for Medicare and Medicaid Services (CMS) -NOMNC (Notice of Medicare Non-Coverage) Form, the Medicare Liability Notices and Beneficiary Appeal Rights and further failed to complete three of three mandated nursing Liability Notices: Skilled Facility Advance Beneficiary Notices (SNFABN) in a timely manner. The findings included: On 04-23-13 at approximately 4:41 PM, review of three of three residents' funds revealed the facility had not completed the required updated CMS NOMNC Form, the Medicare Liability Notices and Beneficiary Appeal Rights or the mandated SNFABNs in a timely manner. During an interview on 04-23-13 at approximately 4:30 PM with the Business Office Manger, he/she, in response to the completion of the SNFABNs, stated, I don't do them. I told him/her (Director of Social Services) he/she was to do them, not me. During an interview on 04-23-13 at approximately 4:41 PM with the Director of Social Services, he/she revealed he/she had been unaware of the updated CMS NOMNC Form. In response to the completion of the SNFABNs, he/she stated, I told him/her (Business Office Manager) that he/she was to do them, not me. | 2016-12-01 |
| 7230 | 7230 | THE METHODIST OAKS | 425131 | 151 LOVELY DRIVE | ORANGEBURG | SC | 29115 | 2013-04-12 | 156 | D | 0 | 1 | LOYS11 | On the days of the survey, based on review of residents' funds and interview, the facility failed to complete the required Centers for Medicare and Medicaid Services (CMS) -NOMNC (Notice of Medicare Non-Coverage) Form, the Medicare Liability Notices and Beneficiary Appeal Rights and further failed to complete one of one mandated nursing Liability Notices: Skilled Facility Advance Beneficiary Notices (SNFABN) in a timely manner for 1 of 1 sampled resident discharged from Medicare and remaining in the facility with Part A days remaining. The findings included: On 04-18-13 at approximately 4:00 PM, review of one of one residents' funds revealed the facility had not completed the required CMS -Form, the Medicare Liability Notices and Beneficiary Appeal Rights or the mandated SNFABNs in a timely manner. During an interview on 04-18-13 at approximately 4:00 PM with the Director of Social Services, he/she revealed he/she could not explain why the required CMS Form -NOMNC could not be located (signed and returned from the resident's family). | 2017-04-01 |
| 8122 | 8122 | DUNDEE MANOR, LLC | 425118 | 710 15-401 BYPASS, WEST | BENNETTSVILLE | SC | 29512 | 2012-05-16 | 156 | C | 0 | 1 | 31Y011 | On the days of the survey, based on review of residents' funds and interview, the facility failed to complete 3 of 3 mandated Liability Notices: Skilled Nursing Facility Advanced Beneficiary Notices (SNFABN) in a timely manner for three of three residents. The findings included: On 05-16-12 at approximately 9:15 AM, review of 3 of 3 residents' funds revealed mandated Liability Notices had not been completed in a timely manner. During an interview on 05-16-12 at approximately 9:40 AM with the Director of Social Services/ Admissions, she revealed the Liability Notices (SNFABN) had been completed only upon admission for residents if they had Medicaid. She stated, I never knew to do them at any other time. | 2016-07-01 |
| 9927 | 9927 | FRASER HEALTH CENTER | 425150 | 300 WOOD HAVEN DRIVE | HILTON HEAD ISLAND | SC | 29928 | 2010-12-15 | 156 | C | 0 | 1 | GFU911 | On the days of the survey, based on review of residents' funds and interview, the facility failed to complete 3 of 3 mandated Liability Notices in a timely manner. The findings included: During review of residents' funds on 12-15-10 at approximately 2:45 PM with the Minimum Data Set (MDS) Coordinator, she confirmed 3 of 3 mandated Liability Notices reviewed had not been completed. | 2014-09-01 |
| 7470 | 7470 | SAVANNAH GRACE AT THE PALMS OF MT PLEASANT | 425404 | 1010 LAKE HUNTER CIRCLE | MOUNT PLEASANT | SC | 29464 | 2013-03-13 | 159 | C | 0 | 1 | 7OB011 | On the days of the survey, based on review of residents funds and interview, the facility failed to issue the mandated Notices of Medicare Non-Coverage and Lialibility in a timely manner for 1 of 2 residents' reviewed for Medicare Non Coverage and Liability Notices. The findings included: Review of the resident funds on 03/12/13 at 5:15 PM, revealed Resident #1 was taken off Medicare with days remaining and remained in the facility. Review of the Notice of Medicare Non-Coverage for Resident #1 revealed services ended July 30, 2012. However, s/he received and signed notification on July 31, 2012. During an interview with the Social Service Director, he/she verified that the Notice of Medicare Non Coverage was not issued with the required 2 days notice before the proposed end of services. When questioned about the Liability Notice, the Director of Social Services stated he/she was unaware that the Liability Notice should have been issued along with the Notice of Medicare Non-Coverage. . | 2017-03-01 |
| 9524 | 9524 | MARTHA FRANKS BAPTIST RETIREMENT CENTER | 425334 | ONE MARTHA FRANKS DRIVE | LAURENS | SC | 29360 | 2011-04-06 | 492 | D | 0 | 1 | 2LNB11 | On the days of the survey, based on review of personnel records and interview, the facility failed to obtain the state required Sled check prior to the date of hire for one Certified Nursing Assistant. (1 of 5 personnel records reviewed for Sled checks.) The findings included: Review of personnel folders on 4/5/11 revealed CNA "B" (Certified Nursing Assistant) had a Sled check done on 4/4/11. Her date of hire on the personnel folder reflected a date of 3/4/11. This was confirmed by the Administrator and Personnel Director. | 2015-04-01 |
| 10186 | 10186 | ROSECREST REHABILITATION AND HEALTHCARE CENTER | 425376 | 200 FORTRESS DRIVE | INMAN | SC | 29349 | 2010-09-08 | 492 | E | 9VMS11 | On the days of the survey, based on review of personnel files, the facility failed to verify 2 of 3 LPN's (Licensed Practical Nurses) license were in good standing with the State Board of Nursing prior to hiring. The facility also failed to verify the criminal back ground for 1 of 3 LPNs prior to the hire date.The findings included:On 9/7/10 review of LPN #7's personnel file revealed that LPN # 7 started work on 6/16/10, however the facility failed to verify that his/her license was in good standing with the State Board of Nursing until 6/30/10. Review of LPN #8's personnel file revealed that LPN #8 started work on 7/7/10, the facility failed to verify that his/her license was in good standing with the State Board of Nursing until 7/20/10. The facility also failed to complete a criminal background check for LPN #8 until 7/20/10. LPN #9's hire date was 7/7/10 and the facility completed the license verification on 7/20/10. An interview with the Minimum Date Set (MDS) Nurse and the Staffing Coordinator on 9/7/10 at 3:00 PM confirmed that the license/criminal background check was not verified prior to hiring the nurses. On 9/8/10 at 9:00 AM, the NHA stated the he/she was not aware of the license and criminal background verifications not being done prior to hire until it was discovered by the surveyor. He/she also stated that a plan to resolve the issue had been started. | 2014-04-01 | ||
| 10028 | 10028 | HONORAGE NURSING CENTER | 425115 | 1207 NORTH CASHUA ROAD | FLORENCE | SC | 29501 | 2011-01-27 | 497 | E | 0 | 1 | HKFQ11 | On the days of the survey, based on review of personnel files, the facility failed to ensure that seven of ten Certified Nursing Assistants (CNAs) reviewed had completed the required twelve hours of inservice education per year to ensure continued competence. The findings included: On 1-16-11 at 6 PM, personnel files of ten CNAs chosen at random by the facility were reviewed as part of the Extended survey process. Seven of the ten failed to complete the required 12 hours of continuing education per year based on review of the individual CNA inservice records and review of additional unlogged inservice records and sign-in sheets with the Director (DON) and Assistant Director of Nursing (ADON). CNA #a was hired on 5-27-96 and rehired on 4-11-01. Calculations based on use of either hire date resulted in a total of 4.75 hours for the full year from 2009 to 2010 based on hire date. CNA #b (date of hire (DOH) = 5/2/08) had a total of 5.25 hours from 5-2-09 through 5-1-10. CNA #c with a DOH of 10-4-92 had a total of 8 hours 10 minutes from 10-4-09 through 10-3-10. One additional 8-19-10 untimed "read and sign" inservice that was not logged on the individual CNA's record was provided by the DON and ADON at 6:45 PM on 1-26-11. CNA #d with a DOH of 8-19-08 had a total of 7 hours 40 minutes from 8-19-09 through 8-18-10. One additional 8-19-10 untimed "read and sign" inservice that was not logged on the individual CNA's record was provided by the DON and ADON at 6:45 PM on 1-26-11. CNA #e had two DOHs listed as 6-26-98 and 3-10-06. From 6-26-09 through 6-25-10, the CNA had a total of 6 hours 20 minutes. From 3-10-09 through 3-9-10, there was a total of 7.5 hours. CNA #f with a DOH of 7-19-04 had a total of 10 hours 35 minutes from 7-19-09 through 7-18-10. CNA #g with a DOH of 9-26-02 had a total of 5 hours from 9-26-09 through 9-25-10. | 2014-07-01 |
| 9713 | 9713 | MOUNTAINVIEW NURSING HOME | 425027 | 340 CEDAR SPRINGS ROAD | SPARTANBURG | SC | 29302 | 2011-03-02 | 496 | D | 0 | 1 | 5U4I11 | On the days of the survey, based on review of personnel files and interviews, the facility failed to verify certification prior to hire for one of three newly hired Certified Nursing Assistants (CNAs) reviewed. The findings included: Review of three personnel files of newly hired CNAs on 3-1-11 at 5 PM revealed that one of the three was hired on 8-24-10. No record could be found that the Nurse Aide Registry had been checked prior to hire. An employee in the front office was advised of this on 3-1-11 at approximately 6 PM. During an interview on 3-2-11 at 11:30 AM, the Assistant Administrator was advised of the missing certification verification and a copy of one completed on 3-2-11 was presented by the Human Resource representative. The Assistant Administrator stated that a concern had been identified with timely verification of certification for Certified Nursing Assistants, but she did not explain the reason that one of the three files checked was not in compliance. | 2014-12-01 |
| 9300 | 9300 | ELLEN SAGAR NURSING HOME | 425012 | 1817 JONESVILLE HIGHWAY | UNION | SC | 29379 | 2011-12-14 | 492 | D | 0 | 1 | 8N3011 | On the days of the survey, based on review of personnel files and interview, the facility failed to perform a background check timely for 1 of 5 newly hired employees. The findings included: Review on 12/14/11 of the facility New Hire Report Form revealed Licensed Practical Nurse (LPN) #1 had an "Adjusted Hire Date" of 10/5/11. Review of his personnel record revealed information that his "DOH" (Date of Hire) was listed as 10/5/11. Review of the Criminal Background Check for LPN #1 revealed a copy of the report had been printed on 10/6/11. Review of the Time Detail report for October 2011 revealed LPN #1 had punched in for work on 10/5/11 for 7.5 hours. During an interview on 12/14/11 at 11:55 AM, the Human Resource Manager verified the above findings. She stated that the date of hire was not accurate, but did not provide any additional information related to this. She was asked to provide any documentation that the Criminal Background Check for LPN #1 had been reviewed prior to 10/6/11 but was unable to provide any before exit. | 2015-05-01 |
| 6268 | 6268 | MAGNOLIA MANOR - GREENVILLE | 425090 | 411 ANSEL ST | GREENVILLE | SC | 29601 | 2014-06-19 | 496 | D | 0 | 1 | 336311 | On the days of the survey, based on review of personnel files and interview, the facility failed to obtain registry verification for 1 of 2 newly hired Certified Nursing Assistants (CNA's) reviewed for registry verification. CNA #2 did not have the abuse registry checked prior to hire. The findings included: On 6/18/2014, review of personnel records for two newly hired CNA's revealed that CNA #2 did not have a registry verification in the file. During an interview on 6/18/2014 at approximately 4:30 PM, the Regional Clinical Services Director confirmed that a registry verification was not done for CNA #2 prior to hire, and that only a copy of the CNA's Registry wallet card was obtained. | 2018-04-01 |
| 8666 | 8666 | ALPHA HEALTH & REHAB OF GREER, LLC | 425138 | 401 CHANDLER RD | GREER | SC | 29651 | 2012-02-15 | 496 | D | 0 | 1 | XKS811 | On the days of the survey, based on review of personnel files and interview, the facility failed to complete a timely registry verification for 1 of 5 nursing assistants newly hired by the facility. The findings included: Record review on 2/14/12 revealed the facility hired a Certified Nursing Assistant (CNA), (Employee A) on 1/19/12 and a registry verification was not completed until 1/31/12. During an interview on 2/14/12 at 9:40 AM with the Director of Nursing (DON), she confirmed the facility failed to complete a Nurse Aide Registry verification for Employee A prior to the hire date. | 2016-01-01 |
| 7905 | 7905 | HERITAGE HOME OF FLORENCE INC | 425154 | 515 SOUTH WARLEY STREET | FLORENCE | SC | 29501 | 2012-08-28 | 494 | D | 0 | 1 | 3YB411 | On the days of the survey, based on review of new employees' competency records and interview, the facility failed to employ 1 of 1 Nursing Assistant (NA) with proof of competency. NA #1, with hire date of 7-18-12, did not have proof of competency 4 months after completion of a state approved training course for Nursing Assistants. The findings included: Review on 8-27-12 of 1 of 1 Nursing Assistant's proof of competency revealed NA #1 received a certificate of completion in a NA program on 4-23-12 and had been hired by the facility as a NA on 7-18-12. Further review on 08-28-12 at approximately 9:00 AM of the facility Employee Work Schedule and the Time Card Report for NA #1 revealed NA #1 had worked 8-25-12 and 8-26-12, longer than 4 months to obtain competency to continue employment as a NA. During an interview on 08-27-12 with the Director of Nursing (DON), she revealed she was unsure if NA #1 had met competency requirements. Follow-up interview on 08-28-12 with the DON at approximately 9:00 AM revealed NA #1 had not met competency requirements and had been removed from the Employee Work Schedule. | 2016-10-01 |
| 7798 | 7798 | C M TUCKER NURSING CARE CENTER / RODDEY | 425360 | 2200 HARDEN STREET | COLUMBIA | SC | 29203 | 2013-02-28 | 156 | C | 0 | 1 | 7HTP11 | On the days of the survey, based on review of liability notices and interview , the facility failed to use the correct and most current forms for notification for Medicare non-coverage. ( 1 of 1 denial notice reviewed.) The findings included: On 2/26/13 at 3:30 PM an interview was held with staff responsible for the completion of Medicare Denial Letters. The Registered Nurse #1, who actually did the denial letter, showed the form used which was the CMS- and another form which was not the required CMS- letter. Social Worker #1 explained the form for had been in use but could not find that their form they were using was one of the possible five letters deemed acceptable for use. Also, the facility was not using the new CMS- -NOMNC (Notice of Medicare Non Coverage) form required for use since 5/2012. None of the staff were aware of the required new form. | 2016-11-01 |
| 10275 | 10275 | UNIHEALTH POST ACUTE CARE ORANGEBURG, LLC | 425085 | 755 WHITMAN STREET SE | ORANGEBURG | SC | 29115 | 2010-09-29 | 496 | D | LLC411 | On the days of the survey, based on review of employee information provided, the facility failed to ensure that registry verification was completed before allowing an individual to serve as a Certified Nursing Assistant (CNA) for 2 of 3 employees reviewed who were hired in 2010 as CNAs. The findings included: During the complaint investigation, information concerning the staff on duty around the time of an injury of unknown origin was requested from the facility. The information provided failed to show that two of the CNAs had registry verification checks done prior to hire. The Director of Nurses (DON) was asked for this information on 9/28/10. On 9/29/10, the DON stated she knew the registry verification checks were done before hire, but Human Resources could not produce evidence of this. | 2014-01-01 | ||
| 8206 | 8206 | FAITH HEALTHCARE CENTER | 425009 | 617 WEST MARION STREET | FLORENCE | SC | 29501 | 2012-08-22 | 496 | D | 0 | 1 | RTYQ11 | On the days of the survey, based on review of employee files and interview, the facility failed to ensure that information was obtained from every State Certified Nursing Assistant (CNA) Registry before allowing an individual to serve as a nurse aide for 1 of 1 CNA hired who was certified in another state. The findings included: Review of five employee files, three of whom were CNAs, hired in the past four months, revealed one of the CNAs hired was also certified in the state of Georgia. The facility was unable to show evidence that the Georgia state registry was contacted for information prior to allowing the CNA to work with residents at the facility. An interview with the facility's Human Resources manager on 8/21/12 at 10:15 AM confirmed this finding. | 2016-06-01 |
| 8897 | 8897 | PRESBYTERIAN HOME OF SC - COLUMBIA | 425396 | 700 DAVEGA DRIVE | LEXINGTON | SC | 29073 | 2012-08-14 | 156 | C | 0 | 1 | D2V211 | On the days of the survey, based on review of Medicare Notices and interview, the facility failed to provide 3 of 3 residents and/or their responsible parties with the SNFABN (Skilled Nursing Facility Advanced Beneficiary Notice-CMS ) or 1 of 5 Denial Letters. The findings included: Record review on 8/14/12 revealed 3 residents who had been taken off Medicare part A with days remaining having stayed in the facility that did not receive a SNFABN-CMS or 1 of 5 Denial Letters as required. During an interview on 8/14/12 in which the Social Services Director and RN #2 were present, RN #2 stated that the facility had stopped providing the SNFABN Notice. | 2015-11-01 |
| 10109 | 10109 | STILL HOPES EPISCOPAL RETIREMENT COMMUNITY | 425401 | 1 STILL HOPES DRIVE | WEST COLUMBIA | SC | 29169 | 2011-11-10 | 156 | E | 0 | 1 | HXLZ11 | On the days of the survey, based on review of Medicare Notices and interview, the facility failed to ensure that one of three residents reviewed for Notices had been provided with the mandated Notice of Medicare Provider Non-Coverage (CMS Form ). There was no documentation that Resident A or her Responsible Party had received the Notice of Medicare Provider Non-Coverage. The facility also failed to provide a Skilled Nursing Facility Advance Beneficiary Notices (SNFABN) or one 5 Denial Letters to the resident or responsible party for Residents A, B, and C, three of three residents reviewed for Liability Notices. Based on observations and interviews, there was no information prominently displayed on the unit on how to receive refunds for previous payments covered by Medicare or how to contact the Adult Protection and Advocacy Network. The findings included: Review of 1 of 3 Notices of Medicare Provider Non-Coverage on 11/9/11 at approximately 4:00 PM revealed the notice for Resident A had not been signed or dated by the resident or responsible party. According to the Notice of Medicare Provider Non-Coverage, the resident's covered services would end on 9/5/11. Attached to the notice was an e-mail from the facility to the resident's son which stated "Please sign and return the attached documents regarding your mother's transition. Please call ... if you have any questions". The e-mail and the Notice of Medicare Provider Non-Coverage had been sent on 9/2/11. During an interview on 11/9/11 at approximately 4:00 PM, the Accounting Director stated she had not received an answer back from the e-mail and had no way of knowing if the son had received and/or understood the information. When asked, she stated that the facility had not mailed the Notice of Medicare Provider Non-Coverage or tried to call the resident's son. Review on 11/9/11 of the "30-Day List" provided by the facility revealed Residents A, B, and C had been listed as having been covered for Medicare, dropped below Medicare coverage criteria with days remaini… | 2014-06-01 |
| 9536 | 9536 | HEARTLAND OF COLUMBIA REHAB AND NURSING CENTER | 425008 | 2601 FOREST DRIVE | COLUMBIA | SC | 29204 | 2012-03-20 | 156 | C | 0 | 1 | 905Q11 | On the days of the survey, based on review of Medicare Denial Letters/Liability Notices and interview, the facility failed to provide the resident and/or responsible party with the Skilled Nursing Facility Advance Beneficiary Notices (SNFABN) or one of the five Centers for Medicare and Medicaid Services (CMS) approved beneficiary notice forms for 3 of 3 residents reviewed. The findings included: Review of the Medicare Denial Letter/Liability Notices on 3/20/12 at 11:00 AM revealed that 3 of 3 residents reviewed had not been issued the SNFABN form or one of the five CMS approved beneficiary notice forms. During an interview with the Business Office Coordinator (BOC) on 3/20/12 at 2:15 PM, she confirmed the facility was not using the form, "but it was in the admission packet the entire time." The BOC also stated she just realized today the facility was not using the SNFABN form or one of the five CMS approved beneficiary notice forms. | 2015-03-01 |
| 9717 | 9717 | ELLENBURG NURSING CENTER, INC | 425047 | 611 EAST HAMPTON STREET | ANDERSON | SC | 29624 | 2011-04-20 | 156 | C | 0 | 1 | CHLV11 | On the days of the survey, based on review of Medicare Denial Letters/ Liability Notices and interviews, the facility failed to provide the required Liability Notice to Residents A, B, and #20 upon completion of therapy, but having Medicare days left and remaining in the facility. ( 3 of 3 residents reviewed with liability notices.) The findings included: Review of Medicare Denial letters with the Business Office Manager on 4/20/11, revealed that Resident A, Resident B and Resident #20 had not been issued the correct Liability Notice (Form or 1 of the 5 approved forms) upon completion of their therapy. The residents had Medicare days left and were remaining in the facility. The Business Office Manager had issued the Form but stated she was not aware that she also needed to issue the other form. | 2014-12-01 |
| 8039 | 8039 | CHESTERFIELD CONVALESCENT CENTER | 425302 | 1150 STATE ROAD | CHERAW | SC | 29520 | 2012-06-27 | 156 | C | 0 | 1 | 2KBC11 | On the days of the survey, based on review of Medicare Denial Letter/Liability Notices and interview, the facility failed to provide the resident and/or responsible party with the Skilled Nursing Facility Advance Beneficiary Notices (SNFABN) or one of the five Center for Medicare/Medicaid Services (CMS) approved beneficiary notice forms for 3 of 3 residents reviewed. The findings included: Review of the Medicare Denial Letter/Liability Notices on 6/27/12 at 8:45 am revealed that 3 of 3 records reviewed had not been issued the SNFABN form or one of the five CMS approved beneficiary notice forms. During an interview with the Business Office Manager (BOM) on 6/27/12 at 9:00 am, she stated that she was not familiar with the SNFABN or any of the approved required forms. An interview with the Administrator at 9:45 am also revealed that she was unaware of the additionally required form. | 2016-09-01 |
| 7770 | 7770 | ALPHA HEALTH & REHAB OF GREER, LLC | 425138 | 401 CHANDLER RD | GREER | SC | 29651 | 2013-03-22 | 520 | F | 0 | 1 | IEVG11 | On the days of the survey, based on review of Infection Control Program, interview, and review of the facility Infection Control Policies, the facility failed to timely identify the failure of the facility wide Infection Control Program and implement prompt corrective action through the quality assurance system. The findings included: Interview on 3/21/13 with the ADON (Assistant Director of Nursing), who had documentation of tracking/trending of infections up until May, 2012. S/he could not provide documentation related to the infection control program after that date. The DON (Director of Nursing) who was new to the facility, had no additional information. A Quality Assurance (QA) study was done 1/15/13 with a goal date of 2/15/13 for the tracking aspect of the infection control program. The Staff could not provide a date or reason for the triggered the QA study or why it had not been previously identified. There was also no documentation of infection control surveillance having been done in the facility since May, 2012 | 2016-11-01 |
| 7767 | 7767 | ALPHA HEALTH & REHAB OF GREER, LLC | 425138 | 401 CHANDLER RD | GREER | SC | 29651 | 2013-03-22 | 441 | F | 0 | 1 | IEVG11 | On the days of the survey, based on review of Infection Control Program and interview, the facility failed to have documentation of tracking and trending of infections for all of the facility units since May, 2012 and no general infection control surveillance was being conducted for the facility. The findings included: An interview with the ADON (Assistant Director of Nursing)/ acting designee in charge of Infection Control, on 3/20/13 revealed there was no documentation/tracking of infections in the facility from May, 2012 to December 2012. There was incomplete documentation for December, 2012 and January, 2013. The ADON confirmed there had basically been no ongoing infection control program from May until February of this year. No compliance surveillance of the Dietary, Nursing, Laundry, or Housekeeping Departments had been in place over the same time period to ensure infection control policies were implemented and maintained. Per the facility guidelines for Infection Control Program, the facility wide monitoring program should include surveillance data to identify nosocomiall infections; system for detection, investigation, and control of outbreaks of infectious diseases, isolation/precautions to reduce risk of transmission, inservice/education for infection control prevention and control, resident and employee health program, system for antibiotic review and control, product review and evaluation, and disease reporting to public health authorities. A Quality Assurance Process was not put into place until January, 2013 to tract identified clusters, antibiotic use, monitoring of organisms identified and completion of a monthly summary. | 2016-11-01 |
| 7217 | 7217 | STILL HOPES EPISCOPAL RETIREMENT COMMUNITY | 425401 | 1 STILL HOPES DRIVE | WEST COLUMBIA | SC | 29169 | 2014-05-07 | 156 | C | 0 | 1 | 92UF11 | On the days of the survey, based on review of Advanced Beneficiary and Liability Notices and staff interview, the facility failed to use Form CMS (Center for Medicare and Medicaid Services)- -NOMNC (Notice of Medicare Non-Coverage) for 3 of 3 sampled residents reviewed for Liability Notices and Beneficiary Appeal Rights. The findings included: An interview and review of Advanced Beneficiary and Liability Notices was conducted on 5/6/2014 at 2:15pm with the Director of Accounting (DOA). Resident A, Resident B, and Resident C had Form No. CMS- signed instead of Form CMS -NOMNC which was effective 7/1/2012. During an interview on 5/6/2014 the DOA verified the updated form had not been used. The DOA stated that s/he did not know about the updated form. | 2017-05-01 |
| 7778 | 7778 | OAKBROOK HEALTH AND REHABILITATION CENTER | 425156 | 920 TRAVELERS BOULEVARD | SUMMERVILLE | SC | 29485 | 2012-09-27 | 156 | D | 0 | 1 | 77HO11 | On the days of the survey, based on review of Advanced Beneficiary and Liability Notices and staff interview, the facility failed to notify 2 of 3 sampled residents reviewed of non-coverage under Medicare prior to their first non-covered day as required. The findings included: An interview and review of Advanced Beneficiary and Liability Notices was conducted on 9-25-12 at 1:40 PM with the Business Office Manager (BOM). Resident #39 was denied Medicare coverage with beneficiary days remaining. His/her first non-covered day was 6-27-12. No Advanced Beneficiary and Liability Notices were located for this resident. The BOM verified none had been completed. Resident #40 was also denied Medicare coverage with beneficiary days remaining. His/her first non-covered day was 5-15-12. No Advanced Beneficiary and Liability Notices were located for this resident. The BOM verified none had been completed. | 2016-11-01 |
| 6893 | 6893 | OAKBROOK HEALTH AND REHABILITATION CENTER | 425156 | 920 TRAVELERS BOULEVARD | SUMMERVILLE | SC | 29485 | 2013-12-20 | 372 | E | 0 | 1 | K2HX11 | On the days of the survey, based on repeated observations, review of the facility provided policy titled Food Handling Practices and interview, the facility failed to maintain garbage dumpsters in a sanitary manner. The Facility dumpster was observed with the doors open, loose debris and spillage on the ground. (1 of 1 dumpster area observed with multiple concerns) The findings included: On 12/17/13 at 12:10 PM, observation of the facility dumpster revealed the dumpster door had been left open, There were two trash receptacles without lids containing loose and bagged garbage. The grease trap lid was observed open and a large amount of spillage and debris was observed on the ground. On 12/19/13 at 11:30 AM, a repeat observation with the CDM (Certified Dietary Manager) present, revealed the dumper lid and side door was open. The dumpster appeared filled to capacity. There were two additional receptacles without lids containing both bagged and loose garbage. The grease trap remained opened and spillage was evident. On 12/19/12 review of the facility provided policy entitled Food Handling Practices revealed : Keep all garbage and food wastes in leak-proof, non-absorbant containers. Cover trash containers when not in continuous use Empty containers twice daily or more often, if necessary. Keep outside dumpster areas clean. Keep lids/doors to dumpsters closed when not dumping garbage. On 12/19/13 at 12:10 PM, the CDM was unable to provide evidence of a cleaning or maintenance schedule for the dumpster/grease traps. | 2017-08-01 |
| 7318 | 7318 | PRUITTHEALTH- COLUMBIA | 425013 | 2451 FOREST DRIVE | COLUMBIA | SC | 29204 | 2013-07-24 | 160 | C | 0 | 1 | 2C6Z11 | On the days of the survey, based on record reviews, interview and review of the facility policy Resident Trust Policy, the facility failed to convey the final accounting of 1 of 5 sampled residents' personal funds to the individual, probate jurisdiction administering the resident's estate upon death and/or convey funds within 30 days upon death. The findings included: On 7/24/13 at approximately 11 AM, an interview was conducted with the Financial Counselor and Resident Trust Administrative Assistant related to the conveyance of funds. Review of the residents funds revealed that Resident C funds were conveyed to a funeral home. Review of Resident C's Patient/Resident Trust Fund Authorization Agreementcompleted on admission revealed no indication that there was any authorization to release the resident's funds to the funeral home. During an interview with the Financial Counselor and Resident Trust Administrative Assistant on 7/24/13, they both verified the surveyor findings and stated they were not aware if there was a policy related to the conveyance of funds. Review of the facility Resident Trust Policy provided by the Administrator on 7/24/13 revealed: Upon the discharge or death of a resident with personal funds deposited with the center, the center must convey the resident's funds along with a final accounting to resident or the individual or probate jurisdiction administering the resident's estate within 30 days. | 2017-03-01 |
| 9679 | 9679 | HEARTLAND HEALTH AND REHABILITATION CARE CENTER-HA | 425289 | 1800 EAGLE LANDING BLVD | HANAHAN | SC | 29406 | 2011-02-03 | 159 | B | 0 | 1 | 5MWX11 | On the days of the survey, based on record reviews and interviews, the facility failed to maintain a petty cash fund that was available to the residents seven days a week. The findings included: On 2/2/11 at 4:30 PM a review of the resident funds was done with the facility Payroll Clerk/ Human Resources Assistant. During the review, when asked how the petty cash for the residents was handled, she stated that the residents would come to her office and get the money that they needed. When asked if the funds were available on the weekends she stated no and that she had been employed at the facility for eleven years and there had never been a petty cash fund. During a review with the Administrator on 2/2/11 at 5:10 PM, he stated that there had never been a request for petty cash on the weekends except for about a year ago. He stated he just happened to be in the building on a weekend and a resident asked for cash from the petty fund and he was in the building to give it to him. He further stated that he was on call 24 hours a day, seven days a week and the staff knew that he would come in to get funds from the safe. When asked if that was posted in writing so all staff would know that process. the Administrator stated no. | 2015-01-01 |
| 7873 | 7873 | PEACHTREE CENTRE | 425095 | 1434 N LIMESTONE ST | GAFFNEY | SC | 29340 | 2012-09-14 | 274 | D | 0 | 1 | 9AZ511 | On the days of the survey, based on record reviews and interviews, the facility failed to identify three significant changes and complete the required assessments for two of two sampled residents identified with a concern related to the failure to complete a significant change in status assessment (SCSA). From 6-6-12 to 8-29-12, Resident #26 was noted with changes in cognition, functional status, continence, skin risk, and psychoactive medication with no SCSA completed. From 2-8-12 to 7-25-12, Resident #54 was noted with changes in vision, hearing, mood, functional status, and continence with no SCSA completed. The findings included: Review of the 6-6-12 and 8-29-12 Quarterly Minimum Data Set (MDS) Assessments for Resident #26 on 9-11-12 at 3:05PM revealed the following: -The Brief Interview for Mental Status (BlMS) had improved from 10 (moderately cognitively impaired) to 15 (cognitively intact). -The Resident's ability to walk in the corridor changed from requiring limited assistance of one person to activity did not occur. -The resident changed from independent locomotion on the unit to requiring limited assistance of one person. -Off unit locomotion changed from extensive assistance of one person to activity did not occur. -Functional abilities of dressing, toileting, and personal hygiene went from limited to extensive assistance of one person. -The resident's ability to balance declined in all areas. -Bowel continence declined from always continent to occasionally incontinent. -The resident was assessed at risk for pressure ulcers on the most recent assessment when she/he had not been previously. -Antianxiety medication was discontinued and an antidepressant started. Review of the 2-8-12 annual and 7-25-12 Quarterly Minimum Data Set (MDS) Assessments for Resident #54 on 9-12-12 at 2:20PM revealed the following: -The PHQ9 score improved from6 to 0. -Functional abilities of transferring, ambulation, dressing, toileting, and personal hygiene showed improvement from requiring extensive to limited assistance of o… | 2016-10-01 |
| 7392 | 7392 | HOSANNA HEALTH AND REHAB OF PIEDMONT | 425314 | 109 BENTZ ROAD | PIEDMONT | SC | 29673 | 2012-12-05 | 152 | D | 0 | 1 | ILF211 | On the days of the survey, based on record reviews and interviews, the facility failed to give 2 of 17 residents reviewed for code status the opportunity to sign a Do Not Resuscitate for himself/herself. Resident #10 and #11 had not been determined to lack capacity to make their own health care decisions. Both residents had Do No Resuscitate forms signed by their responsible party. The findings included: During record review for Resident #10 on 12/4/12 revealed that the resident had a Telephone Order (TO) for DNR (Do Not Resuscitate) dated 1/16/12. A Physician's Progress Note dated 1/3/12 stated that the resident did not have capacity DNR per conversation with daughter. An additional Telephone Order was written and signed by a physician on 1/10/12 indicating that Resident #10 was made a DNR. There was no evidence the resident lacked the capacity to make his/her own healthcare decisions. Review of Resident #11's record on 12/5/12 at 12:10 PM revealed that the resident's DNR form was signed by the resident's Responsible Party on 10/24/12. A Telephone Order was written and signed for DNR status on 10/25/12. There was no evidence the resident lacked the capacity to make his/her own healthcare decisions. On 12/5/12 at 12:50 PM, during an interview with the Director of Nursing (DON), the DON confirmed there was no documentation on the medical record indicating Resident #10 and #11 did not have the capacity to make their own healthcare decisions. No additional documentation was provided prior to the survey team exiting the facility. | 2017-03-01 |
| 7862 | 7862 | LORIS REHAB AND NURSING CENTER, LLC | 425086 | 3620 STEVENS STREET | LORIS | SC | 29569 | 2012-08-29 | 156 | C | 0 | 1 | HQQ311 | On the days of the survey, based on record reviews and interview, the facility failed to provide 3 of 3 sampled residents reviewed for medical denial notices with a SNFABN (Skilled Nursing Facility Advance Beneficiary Notice) in order for the residents or responsible party to request a demand bill. The findings included: An interview on 8/28/12 at approximately 4:40 PM with the Business Office Manager confirmed the findings that the SNFABN form, CMS (Center for Medicare/Medicaid) form were not submitted because she was unaware that an additional notice was required other than the CMS form. | 2016-10-01 |
| 8995 | 8995 | OMEGA HEALTH & REHAB OF GREENVILLE, LLC | 425060 | 809 LAURENS ROAD | GREENVILLE | SC | 29607 | 2011-05-24 | 160 | B | 0 | 1 | ZFEO11 | On the days of the survey, based on record reviews and interview, the facility failed to convey resident's funds and final accounting of those funds within 30 days to the individual or probate jurisdiction administering the resident's estate for 2 of 5 random sampled residents. Two residents' funds were conveyed to funeral homes. The findings included: An interview on 5/29/11 at approximately 8:20 AM with the Business Office Manager revealed that 2 of 5 random sampled residents' funds reviewed were conveyed to funeral homes. The Business Office Manager confirmed the findings and further stated the facility did not obtained a signed document/authorization from individual or probate jurisdiction administering the resident's estate to send the funds directly to the funeral home. | 2015-08-01 |
| 7863 | 7863 | LORIS REHAB AND NURSING CENTER, LLC | 425086 | 3620 STEVENS STREET | LORIS | SC | 29569 | 2012-08-29 | 160 | B | 0 | 1 | HQQ311 | On the days of the survey, based on record reviews and interview, the facility failed to convey resident's funds and final accounting of those funds within 30 days to the individual or probate jurisdiction administering the resident's estate for 2 of 3 random sampled residents reviewed. Two residents' funds were conveyed to individuals without documentation to indicate they had individual jurisdiction to administer the resident's estate. The findings included: An interview on 8/28/12 at approximately 4:20 PM with the Business Office Manager confirmed the findings that 2 of 3 random sampled residents' funds reviewed were conveyed to individuals without documentation to indicate the individual had jurisdiction to administer the resident's estate. | 2016-10-01 |
| 10035 | 10035 | LAUREL BAYE HEALTHCARE OF ORANGEBURG | 425116 | 575 STONEWALL JACKSON BOULEVARD | ORANGEBURG | SC | 29115 | 2010-08-18 | 156 | C | 0 | 1 | G5LE11 | On the days of the survey, based on record reviews and interview, the facility failed to complete 3 of 3 mandated Liability Notices. The findings included: During review of resident funds on 8/18/10, three of three mandated Liability Notices were not completed by the business office. During an interview following the review, the Business Manager confirmed that the Liability Notices were not completed. | 2014-07-01 |
| 7631 | 7631 | LIFE CARE CENTER OF HILTON HEAD | 425147 | 120 LAMOTTE DRIVE | HILTON HEAD ISLAND | SC | 29926 | 2012-11-29 | 514 | E | 0 | 1 | IFSP11 | On the days of the survey, based on record review, the facility failed to ensure that resident medical records were complete and accurately documented for 4 of 19 residents sampled (#3, #6, #7, and #18). The findings included: Residents #3, #6, and #7 did not have the physician's cumulative orders for November 2012 in their medical records as of 11/27/12. When questioned, the unit manager began a search but the orders could not be located that evening. On the morning of 11/28/12, the Unit Manager was asked if the November orders were found and she stated they were found in a bag in the medication room. Resident #6's medical record contained a Medication Administration Record [REDACTED] Resident #7 and Resident #18 had Sliding Scale Insulin forms in their medical records that did not show in what month and year the readings were done. | 2016-12-01 |
| 7089 | 7089 | LAKE MARION NURSING FACILITY | 425300 | 1527 URBANA ROAD | SUMMERTON | SC | 29148 | 2013-11-15 | 492 | D | 0 | 1 | QOX211 | On the days of the survey, based on record review, the facility failed to conduct a licensure check prior to hire for 1 of 9 licensed staff members reviewed for timely licensure verification. The findings included: Registered Nurse #3 did not have a timely licensure check prior to hire in their personnel file prior to hire. RN #3 began employment on 8/29/12 with a licensure check completed on the same day. | 2017-06-01 |
| 6904 | 6904 | WHITE OAK ESTATES | 425290 | 400 WEBBER ROAD | SPARTANBURG | SC | 29302 | 2014-03-20 | 226 | D | 0 | 1 | 85TP11 | On the days of the survey, based on record review, review of the facility provided policy related to abuse, and interview, the facility failed to thoroughly investigate and or report an injury of unknown origin. Resident # 42 was found with bruising to the lower extremity. There was no documented evidence of a thorough investigation and the incident was not reported to the State Agency. (1 of 1 sampled residents reviewed with an injury of unknown origin.) The findings included: On 3/18/14, at approximately 2:30 PM, record review for Resident # 42 revealed nurses notes dated 3/4/14 at 2:22 AM stating the resident had purple discolorations to the right lower extremity. An area on the right shin measured 9 x 7 centimeters and a second area on the right calf measured 9 x 6 centimeters. An incident report was completed and indicated the injury was not witnessed. The summary of the investigation stated: This nurse was notified by CNA (Certified Nursing Assistant) that resident noted to have 2 bruises to RLE (right lower extremity). Resident kicking at staff. Resident refused to keep derma sleeves in place. Interventions for prevention stated: Resident is combative/kicking out during care, refuses to leave derma sleeves on. Resident has padded siderails. Geri legs to bilateral lower extremities as resident will allow. A confidential occurrence statement enclosed in the investigation and dated 3/4/14 stated : While doing residents care I noticed . had purple bruises on . right leg, Reported the incident to the charge nurse. The statement was signed by the CNA who discovered the bruising. A facility form titled Harm decision tree (dated 3/4/14) documented the injury as a bruise. The form indicated that factors beyond the control of the individual were marked both yes and no with the comment Resident combative. This form was signed by a Licensed Practical Nurse and the Director of Nursing (initial). Review of Departmental notes from 2/21/14 to the date of the incident documented no behaviors exhibited by the resident. Revi… | 2017-08-01 |
| 7151 | 7151 | HEARTLAND HEALTH CARE CENTER - UNION | 425142 | 709 RICE AVENUE | UNION | SC | 29379 | 2013-06-13 | 353 | D | 0 | 1 | IS2Q11 | On the days of the survey, based on record review, resident group and staff interview and review of the facility files, the facility failed to ensure that sufficient nursing staff was available to meet residents needs as evidence of multiple grievances and concerns related to call light responses. The findings included: Review of the Resident Council Meeting minutes and grievance logs during the days of the survey revealed concerns related to staffing. Review of the Resident Council Meeting minutes on 6/11/13 at 3:00 PM revealed nursing concerns for the months of 4/3/13 and 5/2/13 related to lack staff by not responding to call lights. On 6/11/13 at approximately 3:30 PM, a group interview was conducted with alert and oriented residents. Seven of seven residents complained that there was not enough staff to assist the residents with there needs. They also expressed incontinent checks were not being done frequently to see if they needed assistance. The residents also stated that the staff takes a long time to respond to call lights especially during third shift. After conducting the group interview with the facility's alert and oriented residents, the surveyor asked to see the Concern form which grievances are documented on. The form listed the date the concern was recieved, documentation of the concern, documentation of the facility follow up and a resolution of the concern. On 1/17/13, the daughter of a resident stated she rang call light for her mother to go to BR (bathroom) on second shift waiting 25 minutes and sstill no one came to answer light . On 1/28/13, a resident complained and reported about having to wait a long time for his/her call light to be answered. On 3/16/13, a resident stated he was on bed with CPM, pushed casll light at 7:50 a.m. for bathroom, said no one answered his light until 8:20 .resident very upset. The resident called his wife and she came from home and got here before the light was answered. He then said the aid made out thast they were short. On 3/28/13, this concern occured on se… | 2017-05-01 |
| 9931 | 9931 | MAGNOLIA MANOR - COLUMBIA | 425287 | 1007 N KING ST | COLUMBIA | SC | 29223 | 2011-02-09 | 286 | D | 0 | 1 | 9D9U11 | On the days of the survey, based on record review, observations and staff interviews, the facility failed to maintain resident's comprehensive assessments in the medical record or in a location that was accessible to all professional staff for all residents with comprehensive assessments. The findings included: During the days of the survey, the most recent comprehensive assessment (MDS) was not available on the medical record. At 2:00 PM on 2/8/2011 the ADON (Assistant Director of Nursing) was asked where the most recent MDS was located. The ADON stated that the MDS's were locked up and she would bring it. When asked if the MDS's were available to the staff, the ADON stated she thought they had a key to get them. At 4:00 PM on 2/8/2011, Licensed Practical Nurse (LPN) #3 was asked if she had a key to unlock the cabinet that contained the MDS. The LPN stated that she did not think so. The LPN was observed trying to open the cabinet. None of the keys on the key ring unlocked the cabinet. . | 2014-09-01 |
| 9500 | 9500 | HERITAGE HEALTHCARE OF PICKENS | 425306 | 163 LOVE & CARE ROAD | SIX MILE | SC | 29682 | 2011-08-30 | 156 | C | 0 | 1 | Y1HD11 | On the days of the survey, based on record review, observation, and interview, the facility failed to ensure that the required 48 hours "Notice of Medicare Provider Non-Coverage" was submitted timely for three of three Medicare notices reviewed. The CMS (Centers for Medicare and Medicaid Services) form did not indicate when coverage would end. Additionally, the facility failed to provide a posting related to refunds of benefits. The findings included: Record review on 8/29/11 at approximately 2 PM, revealed three of three "Notice of Medicare Provider Non-Coverage" notices given that did not include the effective date the Medicare coverage would end. There was no documentation to ensure the residents/and or responsible parties were informed timely to request further services. The "Notice of Medicare Provider Non-Coverage" CMS form indicated the noticed had been sent out and dated with no effective date to indicate when the coverage would end. On 8/29/11 at approximately 2:20PM, the Director of Nursing verified that she did not complete the form properly by including the effective date when coverage would end. On 8/28/11 at approximately 2:50 PM, initial tour of the facility revealed there was no posting in the facility related how to obtain a refund from Medicare and Medicaid. On 8/30/11 at approximately 9 AM observation of the facility revealed, there was no posting of written information to provide the residents instructions as to how to receive refunds for previous payments covered by benefits. During an interview on 8/30/11 at approximately 9:20 AM, the Financial Counselor verified that there was no posting related to refunds. | 2015-04-01 |
| 9806 | 9806 | THE HERITAGE AT LOWMAN REHAB AND HEALTHCARE | 425100 | 201 FORTRESS DRIVE | WHITE ROCK | SC | 29177 | 2011-03-22 | 225 | D | 0 | 1 | XM2111 | On the days of the survey, based on record review, interviews, and review of the facility policy entitled "Abuse Policy and Procedure" (copied 3/22/11 at 3:30 PM), the facility failed to report 1 of 3 incidents to the State Agency within twenty-four hours as required. An allegation of abuse related to a Certified Nursing Assistant (CNA) accused of being "rough" with a resident during care was not reported timely to the State Agency. The findings included: On 3/21/11 at 6:00 PM, review of facility reports revealed that an allegation of abuse was made on 12/18/10. A CNA reported that another CNA was providing care to a resident and was rough and raised her voice to the resident. The CNA reported the abuse to her Charge Nurse on 12/18/10. The 24 hour report was sent on 12/22/10. On 3/22/11 at 3:00 PM, an interview with the Social Service Director was conducted. She stated that the incident happened on 12/18/10. Per the Social Service Director a CNA went to her Charge Nurse to report an allegation of abuse. She stated that the Charge Nurse did not report the allegation and that the CNA who initially reported the allegation went to the Director of Nursing (DON) on 12/22/10 as to why nothing had been done. The Social Service Director stated that the nurse did not follow protocol in reporting the abuse allegation. She stated they were not aware of the allegation until 12/22/10. Review of the nursing schedule for 12/19/10 through 12/22/10 revealled the CNA accused of being abusive to a resident on 12/18/10 continued to work on 12/19/10 and on 12/21/10. Review of the abuse policy entitled"Abuse Policy and Procedure" copied on 3/22/11 at 3:30 PM, revealed that "Alleged violations involving mistreatment, neglect or abuse....are reported accordingly. Any person observing abuse of a resident should immediately report it to the Administrator, Social Services Director, Director of Nursing or other department head. The department head immediately writes the allegation on a grievance form and forwards it to the Administrator. The… | 2014-11-01 |
| 8134 | 8134 | MAGNOLIA MANOR - ROCK HILL | 425165 | 127 MURRAH DR | ROCK HILL | SC | 29732 | 2012-09-26 | 225 | D | 0 | 1 | FLD711 | On the days of the survey, based on record review, interviews and review of the facility's policy entitled What You Need To Know Abuse Prohibition, the facility failed to ensure that all alleged violations involving mistreatment, neglect, or abuse, including injuries of unknown source and misappropriation of resident property are reported immediately to the administrator of the facility and to other officials in accordance with State law through established procedures (including to the State survey and certification agency). The facility failed to Investigate and report 4 bruises located on Resident #11's thigh, 1 of 11 resident's reviewed for injuries of unknown origin. The findings included: On 9/24/12 at 1:45 PM, review of the medical record for Resident #11 revealed that on 7/4/11 at 2:00 PM a Certified Nursing Assistant (CNA) reported that the resident had 4 bruises to the right inner thigh, which was noted in the resident's Nurse's Notes. The resident's Weekly Skin Documentation forms dated 6/28/12 through 7/19/12 contained no documentation of bruises on the resident's right inner thigh. On 7/5/12 a note stated that the bruises were consistent with positioning during peri care and at times the resident does resist care. The resident's cognitive status was documented as 112 on 2/2/12 and a BIMS of 7 was documented on 7/6/12 on the resident's Minimum Data Set (MDS). Review of the resident's behavior documentation indicated that in July and August of 2012 the resident displayed no behaviors. The Care Plans for Resident #11 for significant memory loss dated 2/22/12 revealed that the resident will occasionally refuse a shower or change of clothes. The care plan was updated on 4/24/12 to state that the resident no longer refuses this. The care plan for assistance with ADLS, (Activities Of Daily Living) dated 2/22/12 and updated on 5/3/12, did not indicate resistance to care. The facility's Patient/Resident Incident/Accident Investigation Worksheet, provided by the Director of Nursing (DON) indicated that the DON … | 2016-07-01 |
| 9724 | 9724 | VALLEY FALLS TERRACE INC | 425096 | 400 LOCUST GROVE ROAD | SPARTANBURG | SC | 29303 | 2011-05-10 | 225 | D | 0 | 1 | 5Y6011 | On the days of the survey, based on record review, interview, and review of the policy provided by the facility entitled "Resident Abuse Policy", the facility failed to report alleged abuse to the appropriate agency. Review of one of one reportable incidents revealed alleged physical abuse had not been reported to DHEC (Department of Health and Environmental Control) Certification. The findings included: Review of reportable incidents of alleged abuse on 5/9/11 at 5:20 PM revealed an incident of alleged physical abuse that occurred on 4/4/11 in which a resident alleged a Certified Nursing Assistant (CNA) slapped her. According to documentation provided by the facility, the Ombudsman was notified on 4/11/11 along with DHEC Licensure. The facility could provide no documentation that DHEC Certification had been notified. During an interview on 5/10/11 at 8:25 AM , the Director of Nursing (DON) and Licensed Practical Nurse (LPN) #1 could provide no documentation that DHEC Certification had been notified. During an interview on 5/10/11 at 10:20 AM, LPN #1 stated that the incident occurred on 4/4/11 and the report had been sent to Licensure and the Ombudsman on 4/11/11. She stated she was aware that there was an initial 24 hour report and a 5-day follow up report that should have been sent to Certification. Review of the policy provided by the facility on 5/10/11 entitled "Resident Abuse Policy" revealed under "Reporting" that ..."A. Alleged violations involving abuse of any kind, neglect, injuries of unknown origin, misappropriation of resident property, involuntary seclusion or corporal punishment are reported accordingly...E. The initial report must be phoned or faxed by the Director of Nursing or the Administrator or designees within 24 hours to appropriate agencies to include Ombudsman, DHEC Certification and Licensure and /or appropriate law enforcement agencies". | 2014-12-01 |
| 7162 | 7162 | BLUE RIDGE IN THE FIELDS, LLC | 425158 | 117 BELLEFIELD ROAD | RIDGEWAY | SC | 29130 | 2014-05-22 | 166 | D | 1 | 0 | SUSR11 | On the days of the survey, based on record review, interview, and review of the facility policy entitled Resident & Family Grievances (March 21, 2008), the facility failed to actively seek resolution to grievances for one of one sampled resident reviewed for care complaints. The family voiced concerns about Resident #18's dental care which were not addressed per the facility policy. Cross Refer CFR 483.25(a)(3) Dental care not provided to dependent residents. The findings included: During an interview on 5-19-14 at 4:10 PM, a family member stated s/he had expressed concerns with Resident #18's dental care on multiple occasions but that there had been no improvement/resolution. Review of Social Progress Notes on 5-21-14 at 12:15 revealed an entry dated 11-16-13 at 11:15 AM which documented the family's concern about dental care which was shared with staff on unit. Review of the 11-13 and 12-13 Plan of Care Kardexes for Resident #18 revealed no reference to oral care of any kind. Under the section marked Personal Hygiene, Brush teeth was not checked to be done. On 5-21-14 at 11:50 AM, review of the Resident Grievance/Complaint Log for 11-1-13 through the dates of the survey revealed no entry for this date. The only entry noted for this resident was dated 4-12-14 and related to the general decline in Resident #18's health. Review of the facility policy entitled Resident & Family Grievances (March 21, 2008) revealed the following: All grievances should be recorded utilizing the grievance resolution form . Any staff member who receives a verbal grievance should immediately complete a grievance form . | 2017-05-01 |
| 6902 | 6902 | WHITE OAK ESTATES | 425290 | 400 WEBBER ROAD | SPARTANBURG | SC | 29302 | 2014-03-20 | 167 | B | 0 | 1 | 85TP11 | On the days of the survey, based on record review, interview, and observation, the facility failed to assure residents were knowledgeable in the location/availability of the most recent survey results and failed to post a notice of their availability. The deficient practice had the potential to affect multiple residents who desired to review the most recent survey results. The findings included: Upon entrance to the facility, it was determined that the current facility Resident Council had no President per the choice of the resident's. Resident # 103 and Resident # 54 were designated by the facility as residents who regularly attended Resident Council Meetings and were appropriate to be interviewed. Based on resident interviews conducted on 3/18/14 at approximately 3:30 PM and 3/19 at approximately 10:15 AM, neither resident was aware that the Stage Agency issued a written report of survey findings nor the location of the document. On 3/19/14 at 2: 40 PM, a binder containing survey results was located on a table in the front lobby. This area was separated from the resident's living area by a doorway that remained closed at all times making independent wheelchair access difficult. Additionally, the door was alarmed so any resident wearing an exit prevention device could not enter the area without assistance and further supervision. During an interview with the facility Nurse Consultant at that time,s/he confirmed the location of the survey results. S/he also verified the door was maintained in a closed position; any resident who wanted to look at the binder who was unable to open the door would have to ask for assistance; and there was no posting indicating the location of the survey results. Review of the facility Resident Council minutes for the past 6 months, revealed the last time the Council was informed of their right to look at survey results was in September 2013 and Resident # 54 was not a resident at that time. | 2017-08-01 |
| 8826 | 8826 | HALLMARK HEALTHCARE CENTER | 425326 | 255 MIDLAND PARKWAY | SUMMERVILLE | SC | 29485 | 2012-03-21 | 280 | D | 0 | 1 | EYTZ11 | On the days of the survey, based on record review, interview, and Group Interview, the facility failed to include all resident's in the care plan process. During the Group Interview, 2 of 6 residents verbalized that they had not been included in the care plan process and would like to participate in their care plan meeting The findings included: During the Group Interview on 3/20/12 at approximately 10:00 AM, 4 of 6 residents indicated that they were not invited to their care plan meetings. Of those four residents, 2 stated they were not interested in participating and 2 stated they were interested in participating in the care plan process. Review of the BIMS (Brief Interview for Mental Status) for the two residents interested in the process were 5 and 11 which indicated the resident's were severely impaired to moderately impaired. An interview with the Care Plan Coordinator revealed that she did not always include residents with cognitive impairment in the care plan process, but that she did invite the resident's responsible party. A Care Plan Meeting Attendance Record was provided for each resident. The form listed a section related to meeting notification to Resident and/or Responsible Party. The form did not list if the actual resident was invited. No resident had signed the form stating that they had attended/declined the care plan meeting. Both residents were active participants in the Group Interview. | 2015-12-01 |
| 9671 | 9671 | HEARTLAND HEALTH AND REHABILITATION CARE CENTER-HA | 425289 | 1800 EAGLE LANDING BLVD | HANAHAN | SC | 29406 | 2011-02-03 | 225 | D | 0 | 1 | 5MWX11 | On the days of the survey, based on record review and staff interview, the facility failed to report alleged violations of abuse and/or misappropriation of funds for 2 of 3 investigations reviewed for reporting. The findings included: On 2/1/2011 at 11:10 AM, the administrator was interviewed regarding abuse policies and procedures including reporting alleged incidents. The administrator stated that he followed the grid provided by certification on reporting incidents. The facility's Abuse Policy/Procedure stated under the section titled "Reporting" stated, "The center must ensure that all alleged violations involving mistreatment, neglect or abuse, including injuries of unknown source, and misappropriation of resident property are reported immediately to the administrator of the center and to officials in accordance with state law....(including to the state survey and certification agency)." "CMS believes "immediately" means as soon as possible but ought not to exceed 24 hours after discovery of the incident, in the absence of a shorter time frame requirement." The facility did not report the incidents to the appropriate state agencies within a 24 hour period. Review of the reported investigations included an investigation of misappropriation of resident property. On 4/1/2010, it was reported that a resident's cell phone was missing. On 4/2/2010 a family member reported that the cell phone had been stolen. The facility did not report the incident to the appropriate agencies until 4/5/2010. On 1/25/2010 a police detective reported to the facility that an allegation of abuse had been made to the police department. The facility reported the incident on 1/29/2011 as an injury of unknown origin. | 2015-01-01 |
| 8097 | 8097 | RIVERSIDE HEALTH AND REHAB | 425082 | 2375 BAKER HOSP BLVD | CHARLESTON | SC | 29405 | 2012-08-08 | 272 | E | 0 | 1 | WZ3R11 | On the days of the survey, based on record review and staff interview, the facility failed to have evidence of an accurate, comprehensive and standardized reproducible assessment of each resident's functional capacity relating to discharge potential for 6 of 6 residents (#'s 1, 7, 14, 15, 18 and 20) who reside on the locked unit (400). The findings included: Residents #1,#7,#14,#15,#18 and #20 reside on the secure unit (unit 400). Review of their medical charts revealed that there was no current or previous assessment to determine admission criteria to the secure unit and to determine if the restricted unit remains an appropriate option. An interview on 8-7-12 at 4:00 PM with the Social Services Director (SSD) revealed that the facility had no current admission or discharge criteria. A document titled Geri Psychiatric Unit Qualification for Admission was produced and the SSD stated that it was not the facilities but the corporations. She again stated that the facility had no criteria for admission or discharge from the secure unit. During the pre-exit (sharing) portion of the survey this information was provided to members of the facility. Prior to the exit, the facility shared additional information with the survey team. Documents provided to the survey team included an updated copy of the Admission Guidelines, a Secured Unit Placement Admission Evaluation and Authorization form and a Action Plan dated 8-8-12. During an interview with the Director of Nursing (DON) on 8-8-12 at 4:25 PM, it was verified that no assessment tool for admission or discharge had been used. | 2016-07-01 |
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CREATE TABLE [cms_SC] ( [facility_name] TEXT, [facility_id] INTEGER, [address] TEXT, [city] TEXT, [state] TEXT, [zip] INTEGER, [inspection_date] TEXT, [deficiency_tag] INTEGER, [scope_severity] TEXT, [complaint] INTEGER, [standard] INTEGER, [eventid] TEXT, [inspection_text] TEXT, [filedate] TEXT );