cms_GA: 9669

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
9669 SEMINOLE MANOR NURSING HOME 115712 100 FLORENCE STREET DONALSONVILLE GA 39845 2011-03-03 328 E 0 1 YS9Q11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and staff interview, it was determined that the facility failed to properly store nebulizer equipment for two unsampled residents, failed to ensure that the humidifier bottles were adequately filled with water for two sampled residents (#2 and #3) and failed to date the oxygen tubing and humidifiers for 11 unsampled residents and for five (#1, #2, #3, #4 and #13) sampled residents, who utilized oxygen in a census of 19 residents in the facility with respiratory therapy orders. Findings include: According to the Johns Hopkins Hospital's Clinical Practice Manual for Respiratory Equipment, respiratory equipment was an important source of transmitting microorganisms causing respiratory diseases. The guideline for heated and cold nebulizers was for the entire set-up to be changed every 48 hours. The guideline for cleaning nebulizer equipment documented that the mouthpiece/mask should be rinsed with warm water and dried after each use and that all equipment should be covered when not in use. The guideline related to the use of oxygen noted that replacing the delivery system was to be done every 7 days. However, staff failed to change respiratory equipment for residents #2, #3, #4 and #13 and 11 unsampled residents, and failed to cover respiratory equipment when not in use for two unsampled residents. In an interview on 3/1/11 at approximately 9:00 a.m., licensed nurse stated that the facility did not have a system to monitor the care of respiratory equipment and that changes in the equipment were usually done on an 'as needed' basis. 1. During the Initial Tour on 3/1/2011 at 9:30 a.m. and on 3/3/2011 at 10:40 a.m., the tubing on the oxygen concentrator for the resident in room [ROOM NUMBER]A was not dated. 2. During the Initial Tour on 3/1/2011 at 9:30 a.m. and on 3/3/2011 at 10:41 a.m., the tubing on the oxygen concentrator for the resident in room [ROOM NUMBER]B was not dated. 3. During the Initial Tour on 3/1/2011 at 9:35 a.m. and on 3/3/2011 at 10:30 a.m., the tubing on the oxygen concentrator for the resident in room [ROOM NUMBER] was not dated. 4. On 3/3/2011 at 10:33 a.m., the tubing on the oxygen concentrator and the tubing on the portable oxygen tank on the wheelchair for the resident in room [ROOM NUMBER] B was not dated. The resident's nebulizer mask was uncovered and on his/her bedside table at that time. There was a moderate amount of a dried white substance on the inside of the nebulizer mask. 5. Resident #2 was observed at approximately 9:00 a.m. on 3/1/11 with oxygen infusing at a rate of 3 liters per minute. However, the humidifier bottle was empty. At approximately 3:00 p.m. the same day, the water bottle was still empty. The oxygen tubing was not dated. 6. During the initial tour on 3/1/11 between 9:00 a.m. and 10:30 a.m., there was not a date on the oxygen tubing or humidifier bottle in rooms 119 A, 119 B, 120, 122 A, 122 B, 124 and 126. 7. The nebulizer mouth piece was uncovered and on top of nebulizer machine in room [ROOM NUMBER]. There was not a date on the nebulizer tubing/mouth piece. 8. Resident #3 was receiving oxygen at a rate of 2 liters per minute through a nasal cannula. He/She had a care plan since 11/2/10 for staff to humidify the oxygen with sterile or distilled water. However, during observations on 3/1/11 between 12:15 p.m. and 5:00 p.m., the humidifier bottle was empty. During observations on 3/1/11 at 12:15 p.m., 2:10 p.m., 3:25 p.m. and 4:58 p.m., on 3/2/11 at 7:10 a.m., 12:55 p.m. and 2:45 p.m. and on 3/3/11 at 7:30 a.m. and 12:15 p.m. there was not a date on the tubing or humidifier bottle. 8. Resident #4 was receiving oxygen at a rate of 2 liters per minute through a nasal cannula. However, during observations on 3/1/11 at 2:00 p.m. and 5:00 p.m. and on 3/2/11 at 7:05 a.m., 11:20 a.m. and 5:00 p.m. and on 3/3/11 at 7:10 a.m., the tubing and the humidifier bottle were not dated. 9. Resident #13 was receiving oxygen at a rate of 2 liters per minute through a nasal cannula. However, during observations on 3/2/11 at 5:05 p.m. and on 3/3/11 at 7:15 a.m. and 9:45 a.m., the tubing and the humidifier bottle were not dated. During an interview on 3/3/11 at 11:00 a.m., the Director of Nursing stated that residents' oxygen tubing and humidifier bottles were only changed on an 'as needed' basis. He/she stated that there was not any documentation done as to when those items were changed. 2015-06-01