cms_GA: 40

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
40	NORTH DECATUR HEALTH AND REHABILITATION CENTER	115012	2787 NORTH DECATUR ROAD	DECATUR	GA	30033	2018-12-06	880	D	0	1	46UW11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and staff interviews, the facility failed to maintain an effective infection control program related to labeling and storage of personal care equipment; also failed to utilize proper technique while providing [MEDICAL CONDITION] care for one resident (R) R#38. The facility census was 61 residents. Findings include: Observation on 12/3/18 at 11:16 a.m. revealed in room [ROOM NUMBER] B, un-bagged and unlabeled urinal on the floor behind the toilet and an unlabeled bar of soap on the sink ledge, in a bathroom shared by two male residents. Observation on 12/3/18 at 11:20 a.m. revealed in room [ROOM NUMBER] B, four unlabeled and unbagged bath basins, in a bathroom shared by two female residents. Observation on 12/3/18 at 11:27 a.m. revealed in room [ROOM NUMBER] A, un-bagged and unlabeled nebulizer mask sitting on bedside nightstand. Observation on 12/3/18 at 11:34 a.m. revealed in room [ROOM NUMBER] B, bar of hand soap sitting on sink ledge in bathroom shared by two male residents. Also, un-bagged nebulizer mask sitting on bedside nightstand. Observation on 12/3/18 at 11:46 a.m. revealed in room [ROOM NUMBER] B, labeled but un-bagged urinal in bathroom. Enteral feeding bottle hanging from pole at bedside to bed B, dated 12/1/18. No resident currently residing in bed B. Observation on 12/6/18 at 9:01 a.m. [MEDICAL CONDITION] care performed by Licensed Practical Nurse (LPN) EE for Resident (R) #38. Nurse EE gathered supplies and entered R #38 room. She washed her hands and donned clean gloves. Nurse EE removed soiled [MEDICAL CONDITION] dressing from stoma site. Moderate amount of brown drainage noted on dressing. No odor detected. Nurse removed gloves and applied clean gloves. She did not wash her hands or use hand sanitizer. She [MEDICAL CONDITION] kit and cleanse around [MEDICAL CONDITION] with normal saline. She placed drain sponge on residents chest and resident had a coughing spell and drain sponge was propelled off chest onto pillow on bed. Nurse picked the drain sponge from the pillow and placed it around [MEDICAL CONDITION]. She removed her gloves and put on clean gloves to [MEDICAL CONDITION]. She did not wash her hands or use any hand sanitizer. She removed gloves and applied clean gloves and then applied the [MEDICAL CONDITION]. Nurse cleaned up after procedure and discarded trash in soiled utility room. Nurse did not wash her hand or use hand sanitizer at any point during the procedure, or after it was completed. Interview on 12/6/18 at 9:30 a.m. with LPN EE, stated that she was nervous during the procedure and she forgot to wash her hands after changing gloves. She further stated that she normally washes her hands during the [MEDICAL CONDITION] care. Interview on 12/6/18 at 4:17 p.m. with Registered Nurse BB, verified on walking rounds the infection control concerns identified during the survey. She stated that it is her expectation that residents personal care equipment be labeled with their name and be stored in a clear bag. She further stated that there was not a policy on labeling and storing of resident personal care equipment.	2020-09-01