BLUE RIDGE OF SUMTER

Nursing Home Inspector

1761 PINEWOOD ROAD
SUMTER, SC 29154
Sumter County
Phone: 803-481-8591
Provider Number: 425310
Last Inspection: 09/29/2016

About the Nursing Home

Number of Beds: 96
Number of Residents: 79
Beds Available: 17
Percent Occupancy: 82%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For 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

 

13

Facility
27

County
22

SC
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

13

2016
29

2015
27

2014

Medicare Ratings

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

 

Details by Inspection Date

9/29/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 10/30/2016
 
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 10/30/2016
 
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. Isolated : Minimal 3 10/30/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 10/30/2016
 

11/19/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Isolated : Minimal 3 12/20/2015
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 12/20/2015
 
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. Isolated : Minimal 3 12/20/2015
 
Failed To: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated : Minimal 3 12/20/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 12/20/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Minimal 4 12/20/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 12/20/2015
 
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. Isolated : Minimal 3 12/20/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 12/20/2015
 

8/13/2014 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 9/19/2014
 
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party. Isolated : Minimal 3 9/19/2014
 
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 : Minimal 3 9/19/2014
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 9/19/2014
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 9/19/2014
 
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Minimal 4 9/19/2014
 
Failed To: 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe Isolated : Minimal 3 9/19/2014
 
Failed To: Employ staff that are licensed, certified, or registered in accordance with state laws. Isolated : Minimal 3 9/19/2014
 

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 79 79.00 89.32
Registered Nurses 0.87 0.84 0.85
Licensed Practical / Vocational Nurses 0.72 0.75 0.95
Certified Nursing Assistants 2.07 1.96 2.40
Total Staff Hours 3.67 3.55 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 12 6 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 82 89 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 85 92 93
of long-stay residents experiencing one or more falls with major injury 4 1 3
of long-stay residents who have depressive symptoms 0 0 1
of long-stay residents who lose too much weight 9 8 8
of long-stay residents who received an antianxiety or hypnotic medication 17 16 25
of long-stay residents who received an antipsychotic medication 18 14 14
of long-stay residents who self-report moderate to severe pain 7 2 5
of long-stay residents who were physically restrained 0 0 1
of long-stay residents whose ability to move independently worsened 26 24 18
of long-stay residents whose need for help with daily activities has increased 19 13 14
of long-stay residents with a catheter inserted and left in their bladder 3 5 1
of long-stay residents with a urinary tract infection 3 13 5
of low risk long-stay residents who lose control of their bowels or bladder 88 72 54
of short-stay residents assessed and appropriately given the pneumococcal vaccine 53 75 82
of short-stay residents who had an outpatient emergency department visit 24 16 13
of short-stay residents who made improvements in function 86 71 66
of short-stay residents who newly received an antipsychotic medication 4 1 1
of short-stay residents who self-report moderate to severe pain 18 17 13
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 41 72 81
of short-stay residents who were rehospitalized after a nursing home admission 32 24 21
of short-stay residents who were successfully discharged to the community 18 43 54
of short-stay residents with pressure ulcers that are new or worsened 3 0 0