cms_GA: 5830

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

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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
5830 WESTBURY CONYERS, LLC 115469 1420 MILSTEAD ROAD CONYERS GA 30012 2015-01-15 441 D 0 1 2C2411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, Infection Control Policy review and staff interviews the facility failed to use proper hand hygiene and gloving for one (1) resident (#80) on contact isolation with Methicillin Resistant Staphylococcus Aureus (MRSA). The sample size was twenty-nine (29) residents. Findings include: Observation on 01/12/15 12:47 p.m. revealed that Certified Nursing Assistant (CNA) BB distributed a meal tray to resident #80 who was on contact isolation without using gloves or washing her hands. Observation of another CNA on 01/13/15 at 12:30 p.m. revealed that she entered the room of resident #80 who was still on contact isolation without using gloves or washing her hands. The CNA was observed to move items from the resident's bedside table, leave the room, retrieve the meal tray from the cart and assist with set up of the tray. Continued observation revealed that the CNA then left the room, retrieved another tray from the cart and distributed the tray to another resident without washing her hands or using hand sanitizer. Observation on 01/14/15 12:32 p.m. revealed CNA BB distributed a meal tray to resident #80 on contact isolation without putting on gloves or washing her hands. CNA BB was observed leaning on the bed, touching the bed rail, and assisting the resident with tray set up and condiments. CNA BB did wash her hands at the resident's sink before leaving the room. Review of the Physician order [REDACTED].# 80 revealed an order for [REDACTED]. Interview with the Infection Control (IC) Nurse on 01/15/15 at 9:45 a.m. revealed that staff should follow the proper guidelines for a resident on isolation precautions by sanitizing and/or washing hands before and after passing a tray as well as should sanitize before and after leaving the room of a resident on contact isolation. Continued interview revealed that it would depend on what staff are doing for the resident. A gown may be the appropriate personal protective equipment (PPE), especially if the resident is on contact isolation. Interview with CNA BB on 01/15/2015 1:18 p.m. revealed that she should knock before entering a resident's room. She further revealed that she does not have to necessarily gown and glove up when just serving a tray. CNA BB confirmed that she had received hand hygiene and isolation precaution inservices within the last few months. Review of the Hand Washing/ Hand Hygiene Policy revised August 2012 revealed that employees must wash their hands for at least fifteen (15) seconds using antimicrobial or non-antimicrobial soap and water under the following conditions: e. Before and after entering isolation precautions settings f. Before and after assisting a resident with meals Review of the Contact Precautions Policy revised August 2012 revealed: c. Gloves and Handwashing (1) In addition to wearing gloves as outlined under Standard Precautions, wear gloves (clean, non sterile) when entering the room. (3) Remove gloves before leaving the room and perform hand hygiene. Further review of the Procedure for Handwashing Policy revealed hands were to be washed (at a minimum): Before and after each resident contact After touching a resident or handling their his or her belongings 2018-05-01