cms_GA: 9386

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
9386	OXLEY PARK HEALTH AND REHABILITATION	115387	181 OXLEY DRIVE	LYONS	GA	30436	2010-09-23	441	D	0	1	FOKJ11	Based on observations, it was determined that the facility failed to ensure that certified nursing assistants changed contaminated gloves during the provision of incontinence care for two (#1 and #4) incontinent residents and that one licensed nurse wore gloves during the administration of eye medication for two residents in a total sample of 19 residents and of six licensed nurses observed during the medication pass. Findings include: According to the American Medical Director's Association Clinical Practice Guidelines for Infection Control, Standard precautions should be applied to all residents. Those precautions emphasized handwashing and glove use when touching body fluids. However, a licensed nurse failed to use gloves to prevent the potential touching of body fluids during the installation of eye drops for residents "A" and "B". 1. During observation of medication administration on 9/21/10 at 4:55 p.m., licensed nurse "MM" washed his/her hands before and after administering one drop of Artificial Tears in both eyes for resident "A". However, "MM" failed to wear gloves. 2. During observation of medication administration on 9/21/10 at 5:00 p.m., licensed nurse "MM" washed his/her hands before and after administering one drop of Artificial Tears in both eyes for resident "B". However, "MM" failed to wear gloves. 3. According to the facility's procedures for "Perineal Care", nursing staff were to change gloves after exposing the resident's perineal area, when visibly soiled, and following the application of skin barrier ointment. The procedures noted that gloves were to be removed after the application of skin barrier ointment because they were considered "soiled" at that time. The procedures instructed staff to remove the gloves after applying a clean brief on the resident. However, nursing staff failed to appropriately change soiled gloves during care for residents #1 and #4 to prevent the spread of infection. During observation of care on 9/21/10 at 3:45 p.m. following an episode of urinary incontinence for resident #1, certified nursing assistant (CNA) "FF" wore gloves. After using his/her gloved right hand to support the residents's genitalia, CNA "FF" used the same, contaminated gloved right hand to fold the cloth used to clean the resident, retrieve the peri-wash bottle and then again to support the resident's genitalia. However, it was observed that CNA "FF" did not remove the contaminated gloves and wash his/her hands before putting the resident's bolster pillow back on the bed, repositioning the resident and, returning the peri-wash bottle to the resident's closet. 4. During observation on urinary incontinence care for resident #4 on 9/22/10 at 10:00 a.m., CNA "HH"washed his/her hands and put on clean gloves then opened two cabinet doors to locate the resident's wash basin. After finding the basin, the CNA failed to wash his/her hands and change gloves before providing care to the resident. The CNA used a bottle of peri-wash to clean the resident during incontinence care. He/She sprayed the washcloth with the cleanser, used his/her left gloved hand to clean the resident's perineal area with a washcloth while touching the resident with his/her right gloved hand. The CNA did not remove the contaminated gloves before drying the resident with a clean towel and repositioning him/her. The CNA retrieved the peri-wash bottle wearing the same contaminated gloved hands before spraying cleanser on a clean washcloth to clean the resident's rectal area.	2015-07-01