THE METHODIST OAKS

Nursing Home Inspector

151 LOVELY DRIVE
ORANGEBURG, SC 29115
Orangeburg County
Phone: 803-534-1212
Provider Number: 425131
Last Inspection: 02/10/2017

About the Nursing Home

Number of Beds: 122
Number of Residents: 92
Beds Available: 30
Percent Occupancy: 75%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Non profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

67

Facility
29

County
22

SC
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

67

2017
69

2016
31

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

2/10/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 3/10/2017
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 3/10/2017
 
Failed To: Protect each resident from all abuse, physical punishment, and involuntary separation from others. Isolated : Actual 4 3/10/2017
 
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated : Minimal 3 3/10/2017
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Actual 4 3/10/2017
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 3/10/2017
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 3/10/2017
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 3/10/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Potential 3 3/10/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 3/28/2017
 
Failed To: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Pattern : Potential 3 3/10/2017
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 3/10/2017
 
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Minimal 4 3/10/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 3/10/2017
 
Failed To: Provide or obtain dental services for each resident. Isolated : Minimal 3 3/10/2017
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 3/10/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Widespread : Minimal 5 3/10/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 3/10/2017
 
Failed To: Keep all essential equipment working safely. Pattern : Minimal 4 3/10/2017
 

4/14/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Widespread : Potential 4 4/18/2016
 
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Potential 4 5/16/2016
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 5/28/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 5/28/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 5/28/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 5/28/2016
 
Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Isolated : Minimal 3 5/28/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 5/28/2016
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Pattern : Minimal 4 5/28/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 5/28/2016
 
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Pattern : Minimal 4 5/28/2016
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 5/28/2016
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 4/15/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 5/28/2016
 
Failed To: Provide or obtain dental services for each resident. Isolated : Minimal 3 5/28/2016
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern : Minimal 4 5/28/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 5/28/2016
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 5/28/2016
 

12/12/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Widespread : Potential 4 1/12/2015
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 1/12/2015
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 1/12/2015
 
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Minimal 3 1/12/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 1/12/2015
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 1/12/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 1/12/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 1/12/2015
 
Failed To: Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Isolated : Minimal 3 1/12/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg SC State Avg
Number of Residents 92 83.25 89.32
Registered Nurses 0.93 0.69 0.85
Licensed Practical / Vocational Nurses 1.61 1.21 0.95
Certified Nursing Assistants 3.31 2.28 2.40
Total Staff Hours 5.85 4.17 4.20

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% SC State Avg%
of high risk long-stay residents with pressure ulcers 11 11 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 92 95 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 77 90 93
of long-stay residents experiencing one or more falls with major injury 0 1 3
of long-stay residents who have depressive symptoms 0 2 1
of long-stay residents who lose too much weight 7 10 8
of long-stay residents who received an antianxiety or hypnotic medication 19 20 25
of long-stay residents who received an antipsychotic medication 22 18 14
of long-stay residents who self-report moderate to severe pain 3 6 5
of long-stay residents who were physically restrained 0 0 1
of long-stay residents whose ability to move independently worsened 21 23 18
of long-stay residents whose need for help with daily activities has increased 22 21 14
of long-stay residents with a catheter inserted and left in their bladder 4 1 1
of long-stay residents with a urinary tract infection 12 7 5
of low risk long-stay residents who lose control of their bowels or bladder 30 48 54
of short-stay residents assessed and appropriately given the pneumococcal vaccine 96 93 82
of short-stay residents who had an outpatient emergency department visit 24 19 13
of short-stay residents who made improvements in function 77 74 66
of short-stay residents who newly received an antipsychotic medication 1 2 1
of short-stay residents who self-report moderate to severe pain 10 13 13
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94 87 81
of short-stay residents who were rehospitalized after a nursing home admission 30 23 21
of short-stay residents who were successfully discharged to the community 55 56 54
of short-stay residents with pressure ulcers that are new or worsened 0 0 0