cms_AL: 16

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.

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
16 HIGHLANDS HEALTH AND REHAB 15012 380 WOODS COVE ROAD SCOTTSBORO AL 35768 2017-03-16 315 D 0 1 WKAI11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interviews and a review of a facility policy titled: Hand Hygiene and Incontinent/Perineal Care, the facility failed to ensure incontinent care was provided for RI (Resident Indentifer) #4, a resident with a current Urinary Tract Infection in a manner to prevent cross contamination. On 03/15/17, Employee Identifier (EI) #3/staff Certified Nursing Assistant (CNA), failed to remove soiled gloves and wash her hands when providing incontinent care for RI #4. The CNA repeatedly touched the resident's bottle of peri-wash, the barrier skim cream, the privacy curtain and the residents clean brief while wearing soiled gloves. This affected RI #4, one of one sampled residents observed for incontinent care. Findings Include: A facility policy titled: Hand Hygiene . with an Effective Date: 5/15/2008 .3. Perform hand hygiene: a. before and after having direct contact with patients . A facility policy titled: INCONTINENT/PERINEAL CARE . with a revised date of 2-2016 . PURPOSE: To maintain cleanliness, promote comfort, prevent infection . RI #4 was re-admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. RI #4's Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/16/17, documented RI #4 as incontinent for bowel and bladder. A facility document titled: .URINALYSIS . with a date of 03/03/17 documented . PROTEIN 2+ H (HIGH) . BLOOD 2+ H . RBC (Red Blood Cells) 11-20 H .WBC ([NAME] Blood Cells) 20-50 H BACTERIA 4+ H . [MEDICATION NAME] DS (Double Strength) one PO (by mouth) BID (twice a day) x (times) 7. Culture. A document titled: MICROBIOLOGY . with a date of 03/06/17 . Urine Culture Final Organism 1. ESCHERICHIA COLI ESBL COLONY COUNT >100,000 colonies/ml (milliters). During an observation of incontinent care for RI #4 on 03/15/17, at 4:25 p.m., EI #3 CNA was observed repeatedly touching RI #4's bottle of peri-wash with the same gloves used to provide the incontinent care. EI #3 failed to remove the soiled gloves and wash her hands before touching RI #4's privacy curtain, placing his/her clean brief on the bed and touched the container of barrier cream. An interview was conducted with EI #3 CNA on 03/16/17, at 11:29 a.m. EI #3 was asked why she repeatedly picked up a bottle of peri-wash with soiled gloves. She stated, No excuse I just was not paying attention. EI #3 was asked what she should have done. She stated, I should have put the peri-wash on the cloths before I started. EI #3 was asked why she failed to remove her soiled gloves and wash her hands before she touched RI #4's clean brief, privacy curtain and barrier cream container. She stated, I knew I messed up after I got done and thought about it. EI #3 was asked what the potential for harm was if soiled gloves were used and hands were not washed before touching a residents clean brief, privacy curtain and barrier cream container. She replied, contamination of perineal area and anything else I touch. EI #3 was asked if RI #4 had a Urinary Tract Infection. She stated, I think she has had one that I know of. An interview was conducted with EI #6 Infection Control Coordinator on 03/16/17, at 9:20 a.m. EI #6 was asked what should a CNA do with soiled gloves before touching a bottle of perineal wash repeatedly, a resident's privacy curtain and clean brief. EI #6 stated, Gloves should be removed. 2020-09-01