cms_GA: 169
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 169 | HABERSHAM HOME | 115099 | HIGHWAY 441 NORTH, BOX 37 | DEMOREST | GA | 30535 | 2019-06-27 | 880 | D | 1 | 1 | 3SRU11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation and staff interviews, the facility failed to maintain an effective infection control program related to labeling and storage of personal care equipment; also failed to practice infection control policy for washing and/or sanitizing hands during wound care procedure. The facility census was 76 residents. Findings include: 1. Observation on 6/24/19 at 12:24 p.m. revealed in room [ROOM NUMBER] B, an un-bagged and unlabeled toothbrush sitting on sink counter and un-bagged and unlabeled urinal sitting on the floor beside the toilet. Observation on 6/21/19 at 1:28 p.m. revealed in room [ROOM NUMBER] A, two (2) un-bagged and unlabeled toothbrushes sitting on sink counter. Bathroom is shared by two (2) female residents. Observation on 6/24/19 at 1:50 p.m. revealed in room [ROOM NUMBER] B, one (1) un-bagged and unlabeled toothbrush sitting on sink counter and one un-bagged and unlabeled bath basin on floor under the sink. Bathroom is shared by two (2) female residents. Observation on 6/24/19 at 1:58 p.m. revealed in room [ROOM NUMBER] A, one (1) un-bagged and unlabeled toothbrush sitting on sink counter. Bathroom is shared by two (2) female residents. Observation on 6/24/19 at 2:07 p.m. revealed in room [ROOM NUMBER] B two (2) un-bagged and unlabeled toothbrushes sitting on sink counter. Bathroom is shared by two (2) female residents. Observation on 6/25/19 at 10:14 a.m. revealed in room [ROOM NUMBER], one (1) unbagged and unlabeled toothbrush sitting on sink counter. Bathroom is shared by two (2) female residents. Observation on 6/25/19 at 10:47 a.m. revealed an un-bagged and unlabeled urinal sitting on grab bar in bathroom. 2. Observation on 6/26/19 at 2:03 p.m., with Licensed Practical Nurse (LPN) wound care nurse JJ performed wound care for R#13. She gathered all materials needed for the procedure and placed them in plastic cups. She sanitized the residents over bed table and placed a barrier on the table and placed the plastic cups with supplies on the barrier. She washed her hands and donned on clean gloves and removed the old dressing. Dressing was discarded in trash can in residents room. Nurse changed her gloves, but did not wash or use hand sanitizer. She donned a clean pair of gloves and cleansed the wound on left lower leg with wound cleanser. She then laid the residents leg on a pillow that was used to prop the leg. The nurse did not place a barrier on the pillow, before laying the leg onto the pillow. She then removed her gloves, and donned a clean pair of gloves, but did not wash her hands or use hand sanitizer. After donning clean gloves, nurse placed a moistened 4X4 gauze pad over the wound surface and covered with dry 4X4 gauze pad and wrapped with roll gauze. She secured the dressing with tape, dated and initialed it. She removed her gloves, gathered the garbage bag from the residents rooms and discarded in soiled utility room. She then washed her hands after discarding the garbage. Interview on 6/26/19 with Licensed Practical Nurse (LPN) JJ stated that she uses hand sanitizer when changing her gloves multiple times during the procedure. She further stated that she was nervous during the observation and she forgot to use hand sanitizer. Interview on 6/27/19 at 8:30 a.m. with Licensed Practical Nurse Unit Manager BB, stated it is her expectation that all staff provide care to the residents as ordered. She stated that wound care should be done following Physician orders [REDACTED]. She further stated the nurses should be wearing gloves and washing hands or using hand sanitizer between glove changes. Interview on 6/27/19 at 10:10 a.m. with Infection Control Nurse KK, stated that she comes over to the West Unit once per week. She provides educational trainings on infection control for hand washing, using gloves, and best practices for Infection Control. While she is on the West Unit, she makes walking rounds and does random spot checks for staff following infection control practices. She stated that she will walk into residents rooms, looking for proper storage of personal care equipment. She stated that she would expect the equipment to be labeled with resident's name, but not sure about whether the items need to be bagged or not. She verified on walking rounds with Director of Nursing (DON), the concerns identified during the survey. She stated that for wound care, she would expect staff to change gloves often and wash hand or sanitize between glove changes. | 2020-09-01 |