cms_GA: 83

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
83 GLENWOOD HEALTH AND REHABILITATION CENTER 115025 4115 GLENWOOD RD DECATUR GA 30032 2018-11-01 880 D 0 1 GW4111 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, and facility policy review, the facility failed to utilize proper hand hygiene prior to performing wound care for one of two residents, Resident (R) #15. Improper hand hygiene can promote the spread of infection in a facility. Findings include: R#15 was admitted to the facility on [DATE]. [DIAGNOSES REDACTED]. Review of Wound Evaluation and Management Summary note dated 10/30/18 revealed the resident was admitted to the facility with the following wounds: Stage 4 pressure wound to the sacrum measuring 5.5 x 7.5 x 0.5 centimeters (cm). Stage 4 pressure wound of the right ischium measuring 1.8 x 3.5 x 1cm. Stage 4 pressure wound of the left ischium measuring 3 x 4.5 x 2.5 cm. The Wound Evaluation and Management Summary stated that the dressings were to be changed daily. Review of the facility policy titled Hand Hygiene dated 2012 stated Using an alcohol-based hand rub is appropriate after contact with inanimate objects in the patient's environment. Review of the facility policy titled Artificial Finger Nails stated the following: I. Length of nails: Fingernails should be kept clean, healthy, and short (1.4 inch or less beyond the tip of the finger.) II: Artificial nails: Artificial nails or nails enhancements should not be worn by any person whose responsibilities include handling of sterile supplies and/or direct hands-on resident contact. III. Nail polish: If used, nail polish should not be chipped. Studies have demonstrated that chipped nail polish may support the growth of organisms on the fingernails. If nail polish is worn, it should not be worn for more than 4 days. At the end of 4 days, nail polish should be removed and freshly reapplied. During an observation of wound care on 10/31/18 at 11:00 a.m. Licensed Practical Nurse (LPN) AA set up supplies to change R#15's dressing on the left ischium. She was observed to have long nails with chipped and worn polish and confirmed that they were artificial. LPN AA sanitized her hands with alcohol rub, then reached into her pocket, retrieved the keys to the treatment cart and opened it. She then opened several drawers on the cart and began to open dressings and dropped them onto a clean field. After touching the treatment cart and opening several drawers, she removed unsterile gauze from a packet without sanitizing her hands, put them into a cup, applied wound cleanser and then used them to clean R#15's wound. During an interview with LPN AA on 11/1/18 at 12:07 p.m., she revealed that she thought she could have artificial nails if she kept them short. An interview with Registered Nurse (RN) BB, Wound Care Coordinator revealed that she was unaware of a facility policy advising staff providing direct patient care should not wear artificial nails. During an interview with the Assistant Director of Nursing (ADON) Infection Control Nurse, on 11/1/18 at 12:24 p.m., she confirmed that the facility policy prohibited direct care staff from wearing artificial nails. She also confirmed that LPN AA should have sanitized her hands prior to removing the unsterile gauze for wound care, and that by not doing so she had contaminated her hands. 2020-09-01