cms_GA: 5361

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.

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
5361 MOLENA HEALTH & REHAB 115693 185 HILL STREET MOLENA GA 30258 2015-04-09 441 E 0 1 TLR211 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and staff interview, the facility failed to properly store personal care items for eleven (11) of nineteen (19) residents requiring the use of bedpans and urinals. The facility also failed to follow acceptable Infection Control Center for Disease Control (CDC) guidelines for two (2) of fifteen (15) Diabetic residents, (#2 and #11), requiring finger stick blood glucose monitoring. Findings include: 1. Observations of resident bathrooms conducted 04/07/2015 at 12:16 PM with the Director of Nursing (DON) revealed the following: North Hall Bathroom shared by rooms [ROOM NUMBERS]: Two (2) urinals were hanging on the hand rail beside toilet, one labeled with room and bed, but no label on the second. Neither were not in bags. Bathroom shared by rooms [ROOM NUMBERS]: One (1) unlabeled bedpan on the floor beside the toilet. South Hall Bathroom shared by rooms [ROOM NUMBERS]: One (1) unlabeled bedpan on the floor behind toilet. Bathroom shared by rooms [ROOM NUMBERS]: Two (2) unlabeled bedpans on the floor to left of toilet. West Hall Bathroom shared by rooms [ROOM NUMBERS]: One (1) unlabeled urine specimen hat in a bag on the floor beside toilet. Bathroom shared by rooms [ROOM NUMBERS]: One (1) unlabeled urinal on the floor in bag beside toilet. One (1) bedpan, unlabeled, in bag, on the floor beside toilet. Review of facility policy for Bedpans/Urinals revealed that bedpans and urinals are not to be left in the bathroom or on the floor. 2. Observation conducted 04/08/2015 at 11:32 AM revealed Licensed Practical Nurse (LPN) BB cleaned one (1) of two (2) glucometers on the medication cart with alcohol after performing the finger stick blood sugar on resident #11. The glucometer was left to air dry. Observation on 04/08/2015 at 4:37 PM Licensed Practical Nurse (LPN) DD cleaned one (1) of two (2) glucometers on the medication cart before and after performing a finger stick blood glucose on resident #3, with alcohol pads. No other form of disinfectant was used. Review of the facility list of Diabetic residents with Accuchecks revealed fifteen (15) residents receive accuchecks. None have a [DIAGNOSES REDACTED]. Review of the CDC guidelines for acceptable products for cleaning and disinfection of blood glucose meters indicates the chosen disinfection solvent should be effective against HIV, Hepatitis C, and Hepatitis B virus. The guidelines note seventy percent (70%) alcohol solutions are not effective against viral blood borne pathogens. Review of facility policy for Glucometer Decontamination specifies the facility use approved disinfectant wipes that are effective against Human Immune Deficiency Virus (HIV) and Hepatitis B Virus (HBV). Interview on 04/08/2015 at 11:32 AM with LPN BB revealed disinfectant wipes are not used to decontaminate the glucometers between resident usage. BB added disinfectant wipes have not been available for a long time. Interview on 04/08/2014 at 4:30 PM with the Assistant Director of Nursing (ADON) revealed the facility considers alcohol pads sufficient to decontaminate the glucometers and no other form of disinfectants are used. 2018-10-01