cms_GA: 4

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
4 A.G. RHODES HOME WESLEY WOODS 115002 1819 CLIFTON ROAD, N.E. ATLANTA GA 30329 2019-02-14 880 D 0 1 PXEL11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interviews and review of facility policy titled, Handwashing/Hand Hygiene the facility failed to ensure food was served in a sanitary manner for six of 41 residents (R), R#63 and five unsampled resident) residing on the secured unit. Findings include: Review of the facility's document entitled Handwashing/Hand Hygiene policy (undated) noted the following: 6. Wash hands with soap and water for the following situations: a. When hands are visibly soiled; b. After contact with a resident with infectious diarrhea .7. Use an alcohol-based hand rub containing at least 62% alcohol; or, alternatively, soap and water for the following situations: a. Before and after coming on duty; b. Before and after direct contact with residents; .i. After contact with a resident's intact skin; .l. After contact with objects in the immediate vicinity of the resident; .o. Before and after eating or handling food; p. Before and after assisting a resident with meals. Review of the clinical record for R#63 revealed the resident was admitted on [DATE] with [DIAGNOSES REDACTED]. Review of the resident's Quarterly MDS dated [DATE] revealed the resident required the limited assistance of one staff person for eating and required the extensive assistance of one staff person for personal hygiene. During the lunch meal observation in the north dining room of the facility's secured unit on 1/28/19 at 1:07 p.m. an unsampled resident was seated at a dining table waiting to be served her lunch meal. The resident's left shoe was off of her foot and the resident was having difficulty putting her shoe back on. At this time, the Activity Director (AD) was passing out utensils wrapped in cloth napkins to all of the resident in the dining room and when the AD approached this unsampled resident, the AD set the tray of utensils down on the table and then assisted the resident by putting her shoe on for her. After the resident's shoe was on, the AD picked up the tray and passed out the remaining two cloth wrapped utensils that were on the tray. The AD did not perform hand hygiene before passing the utensils to the two other unsampled residents. Upon completion of passing out the utensils, still having performed no hand hygiene, the AD then served and provided meal set-up for three other unsampled residents. Continued observation of this meal service at 1:15 p.m., revealed the AD left the dining room area and went to R#63's room to escort the resident to the dining room for lunch. The AD was observed to brush R#63's hair as the resident was sitting on her bed. After brushing the resident's hair, the AD prompted the resident to stand up and then escorted R#63 to the dining room by using side by side assistance while holding the resident's hand. Once in the dining room, the AD assisted the resident in sitting down at the table. Without performing any hand hygiene, the AD served the resident her meal tray and then provided meal set-up. Interview with the AD in the north hallway of the secured unit on 1/28/19 at 1:25 p.m. revealed when the AD was asked what she should have done after assisting the unsampled resident with her shoe, the AD paused and then said, My hands! The AD continued and said that because she was multi-tasking, she over-looked the step of washing her hands or using hand sanitizer after assisting the resident with her shoe and after brushing R#63's hair. The AD said she missed that step. Interview at 1:30 p.m. at the nurses' station with Registered Nurse Charge Nurse (CN) AA revealed that the AD was also a CNA (Certified Nursing Assistant) and that she assisted the other CNA's with meal service on the unit at least once or twice each week. Registered Nurse CN AA confirmed that the AD should have performed hand hygiene after assisting the residents with their dressing and hygiene tasks. In addition, Registered Nurse CN AA said hand hygiene should be conducted between each resident's meal set-up. 2020-09-01