cms_WV: 106

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
106 HUNTINGTON HEALTH AND REHABILITATION CENTER 515007 1720 17TH STREET HUNTINGTON WV 25701 2018-08-23 880 D 0 1 TKSO11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed ensure that staff properly changed gloves and performed hand hygiene during personal care to maintain good infection control practices and failed to ensure the urine drainage bag was positioned properly so that it did not touch the floor. This affected one of two residents reviewed for urinary catheter in the sample of 28 residents. Resident identifier: #92. Facility census: 176. Findings included: a) Resident #92 Resident #92's medical record was reviewed on 08/22/18 at 02:17 PM. Resident #92 is severely cognitively impaired according to the Minimum Data Assessment, dated 05/24/18. Resident #92 has multiple [DIAGNOSES REDACTED]. Resident #92 had a physician's orders [REDACTED]. On 8/22/18 at 10:10 AM Certified Nursing Assistant (CNA) #44 was observed providing peri care to Resident #92. After gathering the care supplies, CNA #44 washed her hands and applied gloves prior to starting peri care. As CNA #44 was cleansing the peri area, she removed a small amount of feces using the washcloth. Each time she cleansed the peri area, which was four times, she touched the feces soiled washcloth with gloved hands. After completing peri care CNA #44 did not change her gloves. CNA #44 then touched the resident's gown, arms, legs, hands, pillows, back of the resident's head, and bed control mechanism while still wearing the same feces contaminated gloves. CNA #44 was interviewed afterwards and said that she should have changed her gloves after the peri care was complete. On 08/20/18 at 11:34 AM, 03:57 PM, on 08/21/18 at 01:38 PM and on 08/22/18 at 08:44 AM, the Resident #92's urine catheter bag was in contact with the floor. Resident #92's bed was in the low position and the catheter bag was hooked to the bed frame. The bottom of the urine catheter bag was in direct contact with the floor. On 08/22/18 at 08:44 AM Unit Manager/Licensed Practical Nurse (LPN) #55 confirmed that the urine catheter bag was in contact with the floor. LPN #55 said the bag should not be touching the floor. The facility policy titled Indwelling urinary catheter (Foley) care and management, revised 11/17/17, stated in part, Keep the drainage bag below the level of the patient's bladder to prevent backflow of urine into the bladder .However, don't place the drainage bag on the floor to reduce the risk of contamination and subsequent CAUTI (Catheter Acquired Urinary Tract Infection). The facility policy titled Hand Hygiene, revised 05/18/18, stated in part, The hands are the conduits for almost every transfer of potential pathogens form on patient to another, form a contaminated object to a patient, and from a staff member to a patient. Hand hygiene, therefore, is the single most important procedure in preventing infection. 2020-09-01