GOLDEN AGE – INMAN
LOCATED: 82 N MAIN STREET, INMAN, SC 29349

GOLDEN AGE – INMAN was cited by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES for the following deficiencies:

PLEASE NOTE: The following highlighted quoted text is only a portion of the full report/survey submitted by DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES. The full report/survey can be found here.

FACILITY FAILED TO GIVE RESIDENTS PROPER TREATMENT TO PREVENT NEW (PRESSURE) SORES OR HEAL EXISTING BED SORES

LEVEL OF HARM –IMMEDIATE JEOPARDY

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on record review, interview and review of the facility policy entitled Skin Management Program, the facility failed to provide treatments and services to prevent development of a Stage IV pressure ulcer for 1 of 1 sampled resident reviewed for pressure ulcers. The facility failed to complete weekly skin audits and provide skin treatments as ordered for Resident #37, resulting in the Stage IV ulcer.

Review of the Treatment Administration Record (TAR) on 3/4/2015 at 11:05 AM revealed that pressure ulcer treatments (start date 2/20/2015) were not documented as done daily as ordered on February 20, 23, 24, 26, 27, and 28, 2015. Further review revealed that the Calazyme cream to the buttocks had not been documented as done daily as ordered on 18 out of 28 days in February, 2015. In addition, the treatment for [REDACTED]. 3 daily treatments for the cyst to the sacrum were not documented as done in December, 2015, treatment for [REDACTED].

Review of the weekly Head to Toe Skin Checks on 3/4/2015 at 12:28 PM revealed that the skin audits had not been done weekly. The weekly Head to Toe Skin Check was documented as done 1 time in December (12/6/2014) and 1 time in January (1/14/2015). The weekly skin check was not documented as done in February, 2015 prior to identifying the Stage IV Pressure Ulcer.

During an interview on 3/4/2015 at 1:41 PM, the Director of Nursing (DON) confirmed that the weekly Head to Toe Skin Checks should have been done and were not documented as done weekly. S/he confirmed that the daily pressure ulcer treatment had not been documented as done daily as ordered. In addition, the DON confirmed that the treatment for [REDACTED].

Review of the facility policy entitled Skin Management Program on 3/4/2015 at 2:45 PM revealed that newly identified
residents with skin breakdown should have weekly skin checks.

Personal Note from NHA – Advocates: NHAA shares with all the families of loved ones who are confined to nursing homes the pain and anguish of putting them in the care of someone else. We expect our loved ones to be treated with dignity and honor in the homes we place them. We cannot emphasize enough to family members of nursing home residents; frequent visits are essential to our loved ones’ well-being and safety. This nursing home and many others across the country are cited for abuse and neglect.

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