cms_GA: 5342

In collaboration with The Seattle Times, Big Local News is providing full-text nursing home deficiencies from Centers for Medicare & Medicaid Services (CMS). These files contain the full narrative details of each nursing home deficiency cited regulators. The files include deficiencies from Standard Surveys (routine inspections) and from Complaint Surveys. Complete data begins January 2011 (although some earlier inspections do show up). Individual states are provides as CSV files. A very large (4.5GB) national file is also provided as a zipped archive. New data will be updated on a monthly basis. For additional documentation, please see the README.

Data source: Big Local News · About: big-local-datasette

This data as json, copyable

rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
5342	PRUITTHEALTH - FITZGERALD	115617	185 BOWEN'S MILL HIGHWAY	FITZGERALD	GA	31750	2015-02-26	315	D	0	1	W0TU11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and review of the facility's Policy and Procedure for Perineal care, the facility failed to use appropriate technique, per the Policy, to prevent the potential for infection during perineal care for two (2) residents B and #39 of twenty-two (22) sampled residents. Findings include: Review of the facility's Policy and Procedures Lippincott Procedures (Revised: (MONTH) 04, 2013). The procedure promotes cleanliness and prevents infection. Using gentle downward [MEDICAL CONDITION] from the front to the back of the perineum to prevent intestinal organisms from contaminating in the urethra or vagina. Avoid the area around the anus, and use a clean section of wash cloth for each stroke by folding each use section inward. This method prevents the spread of contaminated secretions or discharge. Turn the patient on his/her side to the Sims position, if possible, to expose the anal area. Clean, rinse, and dry the anal area, starting at the posterior vaginal opening and wiping from front to back. 1. During an observation of perineal care with resident B on 02/25/15 at 1:25 p.m. Certified Nursing Assistant (CNA) FF did not demonstrate the technique as instructed by the facility's policy. The CNA failed to turn the resident and clean from the posterior vaginal opening, from front to back, where there was a moderate amount of feces/stool left intact on residents #47 perineum. CNA FF verified that the feces/stool was not properly cleaned off of resident B. A review of the resident's clinical record indicated a history of numerous abnormal Urinalysis with resulting antibiotic therapy. 2. An observation of perineal care on resident #39 on 02/25/15 at 2:10 p.m. with CNA EE revealed that CNA EE cleaned resident #39 anal and scrotal area with a wash cloth and then used the same wash cloth to retract the foreskin and cleaned the top of the penis. CNA EE verified that the was cloth that was used was contaminated with feces/stool that was used to clean #39's foreskin and top of penis. An interview on 02/26/15 at 10:14 a.m. with the Assistant Director of Healthcare revealed that the most recent perineal care skills checks for staff had been (MONTH) 1, 2014.	2018-10-01