cms_GA: 6412

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

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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
6412 ALTAMAHA HEALTHCARE CENTER 115577 1311 WEST CHERRY STREET JESUP GA 31545 2014-06-25 441 E 0 1 OWMB11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 2. Observation on 6/23/14 at 7:44 a.m. and 1:00 p.m., on 6/24/14 at 10:35 a.m. and on 6/25/14 at 7:45 a.m., there were two (2) bedpans and two (2) bath basins on the shelf above the toilet in the adjoining bathroom for rooms [ROOM NUMBERS] on the B Hall. Staff had failed to label the bedpans and basins with the residents' names and failed to appropriately store the bedpans and basins in bags to prevent cross contamination. One (1) of the bedpans had dried fecal material inside the bowl. Observation on 6/23/14 at 7:51 a.m., on 6/25/14 at 12:32 p.m. and on 6/25/14 at 7:50 a.m., there was one (1) bedpan and three (3) bath basins on the shelf above the toilet in the adjoining bathroom for rooms [ROOM NUMBERS] on the B Hall. Staff had failed to appropriately store the bedpan and bath basins in bags to prevent cross contamination. An interview with the Licensed Practical Nurse (LPN) AA, the infection control nurse on 6/25/14 at 8:05 a.m. revealed that the residents' bath basins and bedpans were suppose to be washed completely after use, labeled with the resident's name, stored in a plastic bag and placed in the resident's bathroom on the shelf above the toilet. Observation and interview on 6/25/14 at 8:10 a.m. with LPN AA confirmed that staff failed to appropriately clean and store the residents' bedpans and bath basins in the adjoining bathrooms for rooms 203, 204, 205 and 206. Based on observations, staff interviews and handwashing policy review, facility failed to ensure that staff maintained proper handwashing between resident contact during dining observation to prevent possible cross contamination on two (2) of three (3) halls. Also, facility failed to ensure that personal care items were labeled and stored to prevent possible cross contamination on one (1) of three (3) halls. Findings include: 1.) During the dinner dining observation on the C-hall between 5:35 p.m.-6:00 p.m. on 6/22/14, revealed a Certified Nursing Assistant (CNA) took a tray into room C-4A, set up the dinner tray, then went into room C-2A, without washing her hands and touched the resident's linens, then touched the resident's hair. Continued observation revealed that this same CNA went to get the nurse for room C-2A, and then proceeded to go back into room C-2A, which at this time she washed her hands. This particular CNA went to room C-4B, set up resident's dinner tray after touching bed, linens, and overbed table, all without washing her hands, and then the CNA went onto room C-5A and set up this resident's dinner tray, all without washing her hands. Also, while she was in room C-5A, she raised the head of the bed and put the resident's glasses on her face, then went back to the tray cart out in the hallway and touched two (2) trays, still without washing her hands. Continued observation revealed that this CNA went onto room C-9B, raised the head of the bed, set up tray and then washed her hands. She then went onto room C-11B where she moved a plastic bag from the overbed table to place the resident's dinner tray, then she went back to the tray cart, and moved onto room C-12B moving around various items on the overbed table, such as the Kleenex box, and the remote control. She then set up the resident's dinner tray and washed hands, so that she could feed the resident. Interview with the Director of Nursing (DON) on 6/24/14 at 12:15 p.m., revealed that she expected staff to wash their hands between resident contact using soap and water, and before returning to the tray cart. Review of the Handwashing Policy and Procedure revealed that all personnel shall wash their hands to prevent the spread of infections and diseases to other residents, personnel, and visitors. Continued review revealed that appropriate handwashing must be performed under the following conditions before touching, preparing or serving food, and after having prolonged contact with a resident (i.e., bedbath, changing linen, etc.). Review of the Inservice Education Program Attendance Sheet dated 4/23/14 revealed that staff were inserviced on handwashing. 2018-01-01