cms_GA: 7816

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
7816	PRUITTHEALTH - LANIER	115600	2451 PEACHTREE INDUSTRIAL BLVD	BUFORD	GA	30518	2012-01-26	441	E	0	1	GQHX11	Based on observation, record review and staff interviews the facility failed to ensure that meal trays were distributed in a sanitary manner on one (1) of three (3) halls and that one (1) of three (3) nurses failed to adequately clean and disinfect multi-use glucometers between residents. Findings include: 1. Observation Hall A on 1/23/12 between 12:30 p.m. and 1:30 p.m. of lunch trays being distributed to resident who ate in their rooms. Staff was observed entering resident's room with with the lunch trays adjusting resident's position in bed and wheelchairs then setting up the resident lunch trays touching straws and utensils. Observation at 12:40 p.m. of Certified Nursing Assistant (CNA) KK and another CNA removing pads from the back of resident #44 and then pulled the resident up in bed with the draw sheet and adjusted the resident's covers. The CNA then set the resident's tray up opening a mighty shake and milk then placing straws into both liquids without washing or sanitizing her hands. CNA KK left the room and continued to deliver and set up trays without washing or sanitizing his hands. A second observation of meal service on 1/25/12 between 5:20 p.m. and 6:15 p.m. revealed that CNA LL delivered and set up the dinner tray for resident #102 after adjusting the head of the bed, adjusting the resident's covers. The CNA left the room to deliver and set up trays for other residents without washing or sanitizing his hands. An interview with the Administrator on 1/26/11 at 11:00 a.m. revealed that she expects the staff to wash their hands after adjusting the resident's bed linens or adjusting resident in bed. 2. Observation on 1/24/11 at 4:15 p.m. with Licensed Practical Nurse (LPN) AA of blood sugar check for resident #54. LPN AA cleaned the glucometer with an alcohol wipe, went into the resident's room and preformed a blood glucose check. LPN AA returned to the medication cart at 4:19 p.m., cleaned the glucometer with an alcohol wipe and proceeded to resident #63's room and performed a blood glucose check for this resident. Following the second glucose check, LPN AA returned to the medication cart and cleaned the glucometer with an alcohol wipe. Interview at that time with LPN AA revealed Clorox wipes are available on the medication cart. Review of the facility's policy and procedure for 1/24/12 at 5:30 p.m. revealed that a two step process requiring the glucometer be cleaned with an alcohol wipe then cleaned with a bleach solution wipe was to be done before and after each resident use. The Policy revealed the standardized cleaning and disinfecting procedures will be utilized to promote compliance to manufacturer and CDC guidelines. Review of the manufacture's recommendation for the glucometer revealed: to clean the glucometer with an alcohol wipe then clean with a Clorox solution.	2016-11-01