cms_GA: 5959

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
5959 ABBEVILLE HEALTHCARE & REHAB 115623 206 MAIN STREET EAST ABBEVILLE GA 31001 2014-10-23 441 F 0 1 N8EW11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations and staff interview the facility failed in hand hygiene (hand washing) practices consistent with accepted standards of practice, to reduce the spread of infections and prevent cross-contamination during meal service and while filling cups with ice and water, in the facility's main dining room and on three (3) of three (halls). Findings include; 1. Observation on 10/20/14 at 5:06 p.m., on the 300 hall, a random Certified Nursing Assistant (CNA) was observed delivering trays to multiple rooms, knocking on doors and going in and out of rooms setting trays up, and not washing or hand sanitizing between residents. Observation on 10/20/14 5:10 p.m. of the food cart sitting on 200 hall outside of room [ROOM NUMBER]. A random CNA was observed in room [ROOM NUMBER] assisting the resident in the B bed, after finishing assisting resident with eating, the CNA brought the used food tray out and set it next to a undelivered unopened food tray on the open food cart. The CNA then pushed the food cart down the hall to room [ROOM NUMBER] and took the uneaten food tray into the room and did not wash/santitize her hands before or after delivering this new tray. An interview on 10/23/14 at 10:37 a.m. with the Director of Nursing (DON) she verified that staff should santitize their hands when they leave the resident's room. She confirms that hand santitizer is available in every room as you enter the room. The DON reveals that the facility has done many infection control education inservices for all staff. 2. Observation on 10/20/14 at 12:45 p.m. of a random Certified Nursing Assistant (CNA) passing out trays to residents in the Main Dining Room, without sanitizing or washing her hands between trays/residents. Observation of the CNA opening food containers, uncovering food and touching residents and tables without washing/santitizing her hands. Observation on 10/20/14 at 12:47 p.m. of CNA AA pushing a resident into dining room, in a wheelchair, then place the resident at a table. CNA AA then obtained another residen'ts tray and place on table in front of her and then set up her meal without santitizing her hands. CNA then helped another resident at the table, taking this resident's knife and fork, cut up the meat and handing the utensils back to resident. CNA AA then returned to the food line and picked up another tray without santitizing her hands. Observation of the evening meal service on 10/20/14 at 5:30 p.m. revealed a randon CNA moving from one resident to another assisting them with holding of spoons, drinking from cups and wiping food debris from mouth without washing or sanitizing hands. 3. During an observation on 10/20/2014 at 11:00 a.m. of Certified Nurse Aide (CNA) AA was observed filling Styrofoam cups with ice from an ice cooler. The CNA was observed with ice filled cups in her hand, entered the resident's bathroom, and begin filling the cups with water from the bathroom water faucet. Upon exiting the resident's bathroom the CNA would set the cup on the resident bedside table. The CNA continued to delivery ice to other rooms on the 100 Hall and part of the 200 Hall and did not sanitize her hands upon entrance or exit from each room observed. During an observation on 10/20/2014 at 12:50 p.m., CNA AA was observed picking up a chair in the dining room and setting the chair next to a resident begins to feed a resident without sanitizing her hands. During an observation on 10/21/14 9:49 a.m. of CNA AA filling Styrofoam cups with ice, on the 300 Hall, and then entered a resident room with an ice filled cup. Further observation at this time revealed CNA AA then pushed the cart in front of the next resident's room and labeled two (2) Styrofoam cups with a pen, then filled the cups with ice, walked into the resident's bathroom to fill the cups with water from the sink then placed them on each resident's bedside table. The CNA did not sanitize her hands upon entrance or exit of this room. During the Quality Assurance telephone review on 11/3/14 at 2:00 pm with the Administrator and the Director of Nursing (DON) they confirmed that the CNA's did not follow the facility's policy related to hand washing/santitizing between delivering resident's food trays and refilling the ice cups. Review of the facilities Hand-hygiene technique Policy, General Guidelines: 3. If hands are not visibly soilded, use an alcohol-based hand rub for all the following situations: (i.) After contact with inaimate objects (e.g., medical equipments) in the immediate vicinity of the resident. 2018-05-01