cms_AL: 47

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
47 ATHENS HEALTH AND REHABILITATION LLC 15016 611 WEST MARKET STREET ATHENS AL 35611 2017-06-01 441 D 0 1 QJHS11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews with facility staff and review of a facility policy titled, Infection Prevention & (and) Control and Potter and Perry, Fundamentals of Nursing. The facility failed to ensure a licensed staff member did not place her ungloved fingers inside a medication cup during medication pass. This affected one of ten residents observed during medication pass. A facility policy titled: Infection Prevention & Control Section: General Infection Prevention .with an effective date of (MONTH) 1, 2009 revealed: PURPOSE: To provide guidelines to employees . that will aid in the prevention of the transmission of infections . Potter and Perry, Fundamental of Nursing, Ninth Edition, Copyright (YEAR), Unit V (five), page 448 revealed: . NURSING KNOWLEDGE BASE . The meticulous of specific infection prevention practices reduces the risk of cross-contamination and transmission of infection . An unsampled resident was readmitted to the facility on [DATE] with [DIAGNOSES REDACTED]. On 5/31/2017 at 4:30 PM, Employee Identifier (EI) #5, License Practical Nurse (LPN) placed her ungloved fingers inside a medication cup to pick it up. She placed four medications inside the cup and provided the medication to the unsampled resident. On 5/31/2017 an interview was conducted with EI #5, LPN. EI #5 was asked how did she pick up the medication cup when preparing medications for the unsampled resident. EI #5 said, she placed her fingers inside the cup. EI #5 was asked how should a medication cup be picked up. EI #5 said, from the bottom. EI #5 was asked should ungloved fingers be placed inside the medication cup when picking the cup up. EI #5 said, never. EI #5 was asked what was the potential harm to a resident when ungloved fingers are placed inside a medication cup. EI #5 said, transfer of bacteria. On 6/1/2017 at 8:33 AM, an interview was conducted with EI #6, LPN/Infection Control. EI #6 was asked how should a licensed nurse retrieve a medication cup during medication pass. EI #6 said, sides and bottom. EI #6 was asked was it an appropriate practice of that facility for a licensed nurse to place her ungloved fingers inside of a medication cup to pick it up. EI #6 said, no. EI #6 was asked what was the potential harm to residents when a licensed nurse placed her ungloved finger inside of a medication cup when it was picked up. EI #6 said, transmission of infection and bacteria. 2020-09-01