PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA-SUMMERV

Nursing Home Inspector

201 W 9TH NORTH STREET
SUMMERVILLE, SC 29483
Dorchester County
Phone: 843-873-2550
Provider Number: 425389
Last Inspection: 02/16/2017

About the Nursing Home

Number of Beds: 87
Number of Residents: 40
Beds Available: 47
Percent Occupancy: 46%
Insurance Accepted: Medicare
Types of Councils: Resident
Ownership: Non profit - Church related
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

 

23

Facility
40

County
22

SC
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

23

2017
20

2016
16

2015

Medicare Ratings

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

 

Details by Inspection Date

2/16/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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. Isolated : Minimal 3 3/19/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 3/19/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 3/19/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 3/19/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 3/19/2017
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 3/19/2017
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 3/19/2017
 

4/27/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 5/25/2016
 
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 5/25/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 5/25/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 5/25/2016
 
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 5/25/2016
 
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 5/25/2016
 

7/1/2015 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 7/27/2015
 
Failed To: Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. Pattern : Minimal 4 7/27/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 7/27/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 7/27/2015
 

Complaint Investigation Deficiencies

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

8/24/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 10/21/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg SC State Avg
Number of Residents 40 72.75 89.32
Registered Nurses 1.30 0.73 0.85
Licensed Practical / Vocational Nurses 1.42 0.65 0.95
Certified Nursing Assistants 2.47 1.70 2.40
Total Staff Hours 5.18 3.08 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 23 9 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 90 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 87 89 93
of long-stay residents experiencing one or more falls with major injury 8 5 3
of long-stay residents who have depressive symptoms 0 0 1
of long-stay residents who lose too much weight 8 8 8
of long-stay residents who received an antianxiety or hypnotic medication 20 27 25
of long-stay residents who received an antipsychotic medication 31 12 14
of long-stay residents who self-report moderate to severe pain 0 1 5
of long-stay residents who were physically restrained 0 0 1
of long-stay residents whose ability to move independently worsened 7 17 18
of long-stay residents whose need for help with daily activities has increased 7 10 14
of long-stay residents with a catheter inserted and left in their bladder 0 0 1
of long-stay residents with a urinary tract infection 3 2 5
of short-stay residents assessed and appropriately given the pneumococcal vaccine 99 69 54
of short-stay residents who had an outpatient emergency department visit 10 75 82
of short-stay residents who made improvements in function 42 11 13
of short-stay residents who newly received an antipsychotic medication 2 53 66
of short-stay residents who self-report moderate to severe pain 3 2 1
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 96 6 13
of short-stay residents who were rehospitalized after a nursing home admission 17 74 81
of short-stay residents who were successfully discharged to the community 67 20 21
of short-stay residents with pressure ulcers that are new or worsened 1 57 54