OPUS POST ACUTE REHABILITATION

Nursing Home Inspector

300 AGAPE DRIVE
WEST COLUMBIA, SC 29169
Lexington County
Phone: 803-739-5282
Provider Number: 425379
Last Inspection: 09/07/2017

About the Nursing Home

Number of Beds: 100
Number of Residents: 80
Beds Available: 20
Percent Occupancy: 80%
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

 

27

Facility
30

County
22

SC
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

27

2017
14

2016
44

2015

Medicare Ratings

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

 

Details by Inspection Date

9/7/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide residents with private access to a telephone. Isolated : Minimal 3 10/8/2017
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 10/8/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 10/8/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 10/8/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 10/8/2017
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 10/8/2017
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 10/8/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 10/8/2017
 

9/1/2016 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. Isolated : Minimal 3 9/30/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 9/30/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 9/30/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 9/30/2016
 

5/6/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated : Minimal 3 6/4/2015
 
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 6/4/2015
 
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Potential 4 6/4/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 6/4/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 6/4/2015
 
Failed To: Provide food in a way that meets a resident's needs. Isolated : Minimal 3 6/4/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Immediate 6 6/4/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Immediate 6 6/4/2015
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated : Minimal 3 6/4/2015
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 6/4/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Immediate 6 6/4/2015
 

Complaint Investigation Deficiencies

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

Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 6/4/2015
 
Failed To: Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. Isolated : Minimal 3 6/4/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg SC State Avg
Number of Residents 80 120.83 89.32
Registered Nurses 1.04 1.41 0.85
Licensed Practical / Vocational Nurses 0.76 1.04 0.95
Certified Nursing Assistants 3.09 2.63 2.40
Total Staff Hours 4.89 5.08 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 17 7 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 96 91 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94 91 93
of long-stay residents experiencing one or more falls with major injury 2 3 3
of long-stay residents who have depressive symptoms 1 2 1
of long-stay residents who lose too much weight 13 10 8
of long-stay residents who received an antianxiety or hypnotic medication 32 25 25
of long-stay residents who received an antipsychotic medication 14 11 14
of long-stay residents who self-report moderate to severe pain 8 4 5
of long-stay residents who were physically restrained 0 2 1
of long-stay residents whose ability to move independently worsened 35 18 18
of long-stay residents whose need for help with daily activities has increased 34 17 14
of long-stay residents with a catheter inserted and left in their bladder 2 1 1
of long-stay residents with a urinary tract infection 0 3 5
of low risk long-stay residents who lose control of their bowels or bladder 44 62 54
of short-stay residents assessed and appropriately given the pneumococcal vaccine 95 89 82
of short-stay residents who had an outpatient emergency department visit 19 10 13
of short-stay residents who made improvements in function 67 62 66
of short-stay residents who newly received an antipsychotic medication 3 1 1
of short-stay residents who self-report moderate to severe pain 11 8 13
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 91 85 81
of short-stay residents who were rehospitalized after a nursing home admission 20 18 21
of short-stay residents who were successfully discharged to the community 61 62 54
of short-stay residents with pressure ulcers that are new or worsened 2 0 0