cms_GA: 1686
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1686 | WESTBURY CONYERS, LLC | 115469 | 1420 MILSTEAD ROAD | CONYERS | GA | 30012 | 2017-07-27 | 441 | E | 0 | 1 | DRP811 | Based on observations, interviews, clinical record review, and review of facility policy, the facility failed to prevent potential cross contamination for 30 residents in the main dining room during meal time; and for three of 29 sampled residents (Residents (R)#93, R#137, R#17). The findings included: Review of the facility's policy Preventing Foodborne Illness - Employee Hygiene and Sanitary Practices dated (MONTH) 2008 noted the following: Employees must wash their hands: a. After personal body functions (i.e., toileting, blowing/wiping nose, coughing, sneezing, etc.); .h. After engaging in other activities that contaminate the hands. Review of the facility's policy Handwashing/Hand Hygiene revised (MONTH) 2012 noted: Employees must wash hands for at least fifteen (15) seconds using antimicrobial or non-antimicrobial soap and water under the following conditions: .c. Before and after direct resident contact (for which hand hygiene is indicated by acceptable professional practice); .g. Before and after assisting a resident with meals; .s. After handling soiled equipment or utensils. 1. Observation on 7/24/17 at 12:09 p.m. in the facility's main dining room revealed two Dietary Aides (DA) served beverages of water and tea to 30 residents. Observation on 7/24/17 at 12:17 p.m. in the facility's main dining room revealed the system the DAs used for serving the residents was as follows: DAs picked up resident diet cards which were lying on the dining table in front of the residents. The DAs then took the cards to the serving line and retrieved resident plates as indicated on their diet cards. While serving the plates, and providing meal set-up, the DAs touched eating surfaces of the plates, and moved/touched resident cups from which the residents had already drank. After serving a resident, the DAs went to the next resident to retrieve their diet card, and performed the same tasks. The DAs used no hand hygiene in between serving the 30 residents, picking up diet cards, touching eating surfaces, and moving resident beverages. Observation on 7/24/17 at 12:21 p.m. in the facility's main dining room revealed DA LL washed her hands, retrieved a paper towel and began to dry her hands. DA LL then used the paper towel to wipe her face, and then continued to dry her hands with the same paper towel. At 7/24/17 at 12:26 p.m., DA LL held a cup of coffee in her hand to serve to a resident. With the cup of coffee in one hand, DA LL used the other hand to move a yellow caution sign out of her walking path. The DA served the resident the coffee, and then went back to the serving line to continue serving the residents their meals. DA LL performed no hand hygiene before going back to the serving line. Interview on 7/24/17 at 12:35 p.m. with DA LL confirmed the system used on this date to serve the residents was the system the facility used every day. DA LL said the DAs did not perform hand hygiene in between picking up diet cards, serving residents, and touching cups. DA LL said that residents have often touched their diet cards and drinking cups before they are served their meals, and said there was a possibility for cross contamination. When asked about hand hygiene after drying her hands with the paper towel used to wipe her face, and after moving the yellow caution sign, DA LL stated she did not realize she did not clean her hands after those acts, and said she should have. During an interview on 7/24/17 at 12:45 p.m. with the facility's Dietary Manager (DM), the DM confirmed the system to serve residents in main dining room. The DM said staff were to hold plates underneath the plate, and hold cups at the bottom away from the eating and drinking surfaces. The DM said she had not realized before today the possibility for cross contamination, but confirmed there should be hand hygiene in between serving. The DM stated hand washing should have occurred after moving the yellow caution sign and after the DA wiped her face with the paper towel. 2. Observation on 7/24/17 at 1:05 p.m. in the dining room of the Secure Unit revealed Licensed Practical Nurse (LPN) NN fed Resident (R) #93. When R#93 spit food out LPN NN placed her hands over her nose and mouth, turned her head then turned back to face the resident with her hands covering her face. LPN NN then picked up the eating utensil and began feeding R#93 again without sanitizing her hands. Further observation in the same dining room revealed LPN NN stopped feeding R#93 and without sanitizing her hands began assisting R#137 who was coughing. LPN NN rubbed R#137 on the back then returned to feeding R#93 without sanitizing her hands between resident contacts. During interview on 7/25/17 at 8:57 a.m. on the Terrace Unit, LPN NN reported she forgot to use the sanitizer between resident contacts because she was trying to help R#137. LPN NN acknowledged she assisted several residents to eat yesterday, touched her face and resident's bodies and did not use sanitizer or wash her hands between residents. During interview on 7/27/17 at 11:05 a.m. in the conference room, the Director of Nursing (DON) reported she did not expect staff to use sanitizer after touching their face or their person while feeding a resident unless staff had some sort of bodily fluid discharge. She did acknowledge staff should have sanitized their hands between resident to resident contact and prior to feeding a resident. 3. During an interview with R#17 in her room on 7/25/17 at 8:15 a.m., an observation was made of Certified Nursing Assistant (CNA) AA delivering a breakfast tray and setting it on the bedside table. CNA AA proceeded to pick up a portion of biscuit with her bare hands and spread jelly on the surface. After picking up the remaining portion of biscuit with her bare hands and placing jelly on the surface, the CNA left the room. Interview with CNA AA on 7/25/17 at 8:30 a.m. in the hall confirmed she was touching resident food with her bare hands and stated she knew that gloves should have been worn. CNA AA stated, I have gloves in my pocket but didn't use them. Interview with the DON in the conference room on 7/27/17 at 11:00 a.m. confirmed staff are to use utensils to handle resident food and not their bare hands. | 2020-09-01 |