Inspection Reports for Nhc Healthcare Parklane
7601 PARKLANE RD, COLUMBIA, SC, 29223-6122
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
63% worse than South Carolina average
South Carolina average: 3.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 5
Date: Dec 12, 2024
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory requirements related to medication storage, resident assessments, activities of daily living care, respiratory care, and medication storage conditions.
Findings
The facility was found deficient in several areas including improper medication storage at bedside without orders, inaccurate coding of Minimum Data Set (MDS) assessments, failure to provide adequate ADL care specifically fingernail care, improper respiratory care including oxygen flow rate and nebulizer mask storage, and failure to remove expired medications and biologicals with presence of live pests in medication storage rooms.
Deficiencies (5)
Failed to ensure medications were properly stored for Resident (R)72; medications were found at bedside without self-administration orders.
Failed to accurately code the Minimum Data Set (MDS) assessment for Resident (R)64 regarding scheduled pain medication.
Failed to provide Activities of Daily Living (ADLs) care, specifically fingernail care, to Resident (R)64.
Failed to ensure proper respiratory care for Resident (R)16 including storage of nebulizer mask and accuracy of oxygen flow rate.
Failed to remove expired medications and biologicals in medication storage rooms and failed to ensure medication refrigerator was free of live pests.
Report Facts
Brief Interview for Mental Status (BIMS) score: 15
Brief Interview for Mental Status (BIMS) score: 6
Brief Interview for Mental Status (BIMS) score: 14
Medication expiration dates: 5
Oxygen flow rate: 4
Observed oxygen flow rate: 4.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN)1 | Licensed Practical Nurse | Confirmed no self administration order for Resident R72 medications and adjusted oxygen flow rate for Resident R16 |
| Director of Nursing (DON) | Director of Nursing | Provided expectations for medication rounds, oxygen administration, and care planning |
| Licensed Practical Nurse (LPN)2 | Licensed Practical Nurse | Removed expired medications and verified live pest in medication refrigerator |
| Certified Nursing Assistant (CNA)7 | Certified Nursing Assistant | Described responsibilities for cleaning and cutting residents' nails |
| Licensed Practical Nurse (LPN)3 | Licensed Practical Nurse | Described responsibilities for cleaning and cutting residents' nails |
| MDS Director | Confirmed Resident R64 received scheduled pain medication despite incorrect MDS coding | |
| Administrator | Stated facility follows RAI manual for MDS coding |
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Apr 7, 2023
Visit Reason
The inspection was conducted based on complaints regarding the facility's failure to honor a resident's request for a room change, failure to immediately notify a physician of a resident's fall resulting in pain, failure to provide adequate activities of daily living care including showers and facial hair removal, medication administration errors, and improper medication storage.
Complaint Details
The complaint investigation focused on Resident 9's dissatisfaction with roommate assignments and the facility's failure to honor her request for a room change. Additional complaints included failure to notify a physician immediately after Resident 88's fall with pain, inadequate ADL care for Residents 2 and 7, medication administration errors, and improper medication storage.
Findings
The facility failed to honor a resident's roommate preference, delayed physician notification after a resident's fall with pain, did not provide showers as scheduled for some residents, failed to assist with facial hair removal, had an 8% medication administration error rate related to insulin pen use, and stored expired and non-sterile medications improperly.
Deficiencies (5)
Failed to honor Resident 9's request for a room change, impacting resident self-determination and choice.
Failed to immediately notify the physician of Resident 88's fall that resulted in significant pain.
Failed to provide Activities of Daily Living care including showers for Residents 2 and 7 and failed to assist Resident 9 with removal of unwanted facial hair.
Medication administration error rate of 8% during insulin administration via flex pen for Residents 62 and 25.
Failed to remove expired medication and non-sterile packing strips from medication and treatment carts.
Report Facts
Medication administration error rate: 8
Shower omission duration for Resident 2: 45
Shower omission duration for Resident 7: 36
Insulin dose dialed: 55
Insulin dose dialed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN7 | Licensed Practical Nurse | Observed priming and administering Lantus insulin pen incorrectly |
| LPN1 | Licensed Practical Nurse | Observed priming and administering Lispro insulin pen incorrectly |
| LPN5 | Licensed Practical Nurse | Confirmed presence of open, non-sterile packing strips on medication cart |
| LPN4 | Licensed Practical Nurse | Confirmed expired Lantus Flex Pen on medication cart |
| LPN6 | Licensed Practical Nurse | Confirmed open, non-sterile packing strips on treatment cart |
| Director of Nursing | Director of Nursing | Provided multiple interviews regarding resident care, notification policies, and ADL care |
| Nurse Practitioner | Nurse Practitioner | Reported staff observations regarding Resident 9's behavior and roommate issues |
| Licensed Practical Nurse 2 | Licensed Practical Nurse | Interviewed about Resident 9's roommate preferences and ADL care responsibilities |
Inspection Report
Deficiencies: 7
Date: Jun 9, 2021
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to PASARR screening, resident activities, treatment and care, nutrition, food safety, medical record accuracy, and infection prevention and control at Nhc Healthcare - Parklane.
Findings
The facility was found deficient in multiple areas including failure to ensure PASARR screening reflected needed services, inadequate provision of activities to meet residents' needs, failure to follow physician's orders for hospice education, insufficient monitoring of nutritional intake, improper food storage and handling, inaccurate medical record documentation, and failure to properly bag soiled linen at point of use.
Deficiencies (7)
Failed to ensure PASARR screening for one resident reflected the level of services needed.
Failed to provide activities to meet the needs of three residents, potentially affecting their well-being.
Failed to ensure hospice education services were provided as ordered for one resident.
Failed to ensure one resident maintained sufficient food and fluid intake to prevent nutritional problems.
Failed to store and prepare food in accordance with professional standards, risking food-borne illness.
Failed to maintain accurate medical records related to services provided for one resident.
Failed to ensure soiled linen was bagged at point of use and not thrown into soiled bins on 3 of 4 halls.
Report Facts
Residents affected: 1
Residents affected: 3
Residents affected: 1
Residents affected: 1
Residents affected: 19
Facility residents: 91
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Interviewed regarding PASARR screening and hospice services | |
| Social Services Director | Interviewed regarding PASARR screening | |
| Certified Nursing Assistant #1 | CNA | Interviewed regarding resident activities |
| Activities Director | Interviewed regarding resident activities and documentation | |
| Licensed Practical Nurse #2 | LPN | Interviewed regarding hospice education services |
| Dietary Manager #1 | Interviewed regarding food storage and handling | |
| Dietary Partner #1 | Observed and interviewed regarding food preparation without gloves | |
| Licensed Practical Nurse #1 | LPN | Interviewed regarding medical record documentation |
| Housekeeping Supervisor | Interviewed regarding soiled linen handling | |
| Medical Doctor | MD | Interviewed regarding medical record documentation |
| Registered Dietitian #1 | RD | Interviewed regarding nutritional intake monitoring |
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