cms_GA: 5067

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.

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rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
5067	NORTHRIDGE HEALTH AND REHABILITATION	115714	100 MEDICAL CENTER DRIVE	COMMERCE	GA	30529	2015-04-09	441	D	0	1	79CJ11	Based on observations and staff interviews the facility failed to ensure appropriate infection control measures were followed during the provision of direct care for one (1) resident (#129) who had a positive urine culture for Extended Spectrum Beta Lactamase (ESBL). The facility also failed to wash or sanitize hands during the delivery, set-up, and assistance between residents during one (1) of two (2) dining observations. The census was one hundred and forty (140) residents, with one hundred and thirty-four (134) of whom received oral alimentation. Findings include: 1. Observation of resident #129 on 04/06/15 at 4:00 p.m. revealed that the resident was on isolation precautions. Further observation revealed a sign on the resident's door indicating the need to see the nurse before entering the resident's room. An Isolation cart with Personal Protective Equipment (PPE) was noted outside of the resident's door. Interview with Registered Nurse (RN) BB on 04/07/2015 at 9:00 a.m., BB confirmed that resident #129 was on contact isolation for ESBL in her urine and indicated the ESBL was detected in the resident's labs on 04/02/15. RN BB revealed that staff was to don PPE before entering the room and to remove the PPE before exiting the room. BB added that the staff had also been instructed to wash their hands or to use the hand sanitizer before leaving the room. Continued interview revealed that there was a sign outside the resident's door requesting that all visitors see the nurse before entering the resident's room for instructions on how and why to wear the PPE. Observation of Certified Nursing Assistant (CNA) DD on 04/08/15 at 8:40 a.m. revealed DD entering the room of resident #129 after donning gloves only before entering the room. DD was observed in resident #129's room readjusting the resident's linens and reaching over and leaning against the resident's bed while assisting the resident. DD was observed leaving the room without washing her hands after removing her gloves. Interview with the Director of Nursing (DON), on 04/08/15 at 8:45 a.m. revealed that she expects her staff to be aware of the type of isolation that any resident is on before entering a room and to wear the appropriate PPE for that type of isolation. When asked specifically about the isolation precautions for resident #129 the DON stated that the resident was on contact isolation for ESBL. The DON added that she expected her staff to wear a gown and gloves when assisting Resident #129 and to remove their PPE and wash their hands before exiting the room. Interview with CNA DD on 04/08/2015 at 8:55 a.m. revealed that she did not wear a gown before entering resident #129's room because she was told by a Licensed Practical Nurse (LPN) that it makes resident #129 nervous when staff wears a gown in her room. DD verbalized that she was aware that resident #129 was on contact isolation for ESBL and acknowledged that she should have put on the proper PPE before assisting the resident. DD added further that she was counseled by the DON to wear the proper PPE when entering resident 129's room. 2. Observation of lunch service on the B hall on 04/06/15 at 1:15 p.m. revealed CNA CC assisting residents with their lunch in the main dining room. CC pulled her cell phone from her pocket, touched multiple wheelchairs and cabinet doors without washing or sanitizing her hands before handling a resident's dinner roll to place butter on it. CC also touched multiple resident's cutlery and the unprotected rims of drinking glasses without washing or sanitizing her hands after touching wheelchairs, resident's clothing, dirty meal trays, and cabinet doors. Continued observation of CNA CC on 04/06/15 at 1:25 p.m. revealed CC feeding a resident her lunch during lunch service in the main dining room/B Hall without washing or sanitizing her hands prior to assisting the resident. The resident was observed to be fully dependent on staff for all aspects of feeding. CC was observed touching the resident's bread, unprotected rim of the resident's drinking glass, and cutlery without washing her hands after being observed touching dirty meal trays, wheelchairs, cabinets, and resident clothing. Interview with CNA CC on 04/08/15 at 3:10 p.m. revealed that when she assists with meal trays and feeding residents she always uses the hand sanitizer before meal service begins and after meal service ends. CC further revealed that she has never washed or sanitized her hands during meal service. She acknowledged that she has seen other staff using the hand sanitizer during the meal services but she only uses it before meals and after she is done assisting with meal services. Interview with the DON on 04/08/2015 at 3:45 p.m. revealed that staff was expected to sanitize or wash their hands before the distribution of each meal tray for all meal services as well as in between each contact with residents. The DON further revealed that the facility has inservices on handwashing to make sure that staff are aware of the proper times and techniques for handwashing.	2019-02-01