cms_MS: 23

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
23	WINSTON COUNTY NURSING HOME	255072	17560 EAST MAIN STREET	LOUISVILLE	MS	39339	2016-02-24	323	D	0	1	MMRK11	Based on observation, staff interview, and facility policy review, the facility failed to ensure proper storage of chemicals, as evidenced by, bleach cleanser stored in unlocked cabinet in resident care area on B hall; one (1) of two (2) resident care halls; B Hall. Findings Include: Review of facility policy, titled, Hazardous Chemical Storage, effective date 2/22/16, revealed, Purpose: Environmental services shall maintain all hazardous chemicals in a safe, clean, and locked location when not in use. All hazardous chemical shall be in control of facility personnel while being used. Procedure: Hazardous chemicals will be maintained in a locked storage area at all times. During the initial environmental tour on 2/22/16 at 10:40 AM, with Licensed Practical Nurse (LPN) #1, an observation revealed a double cabinet with locking mechanisms on each cabinet to be unlocked. The left side cabinet contained resident personal care items for daily care and the cabinet on the right side contained personal care items and a bottle of capped bleach cleanser on the bottom shelf. The weight of the bottle indicated it was near full. A blue ice chest was noted in front of the cabinet containing the bleach cleanser and was partially blocking the cabinet but was easily moved to gain access to the cabinet contents. Interview with LPN #1 on 2/22/16 at 10:40 AM, revealed the cabinets should be locked at all times. LPN #1 stated all Certified Nursing Assistants (CNAs) have access to the cabinet and know to keep it locked at all times. LPN #1 stated there are no wandering residents on B Hall at this time. Stated all residents are both alert and oriented or wheelchair bound requiring assistance. An interview with the Administrator on 2/22/16, at 12:00 Noon, revealed the CNA's washed wheelchairs last night and used the bleach cleanser to clean the wheelchairs. The Administrator stated more than likely one of the CNAs put the cleanser in the cabinet instead of giving it to the nurse. The Administrator stated staff are trained to not put any chemicals in cabinets and they should be kept behind locked doors. She also stated the facility had an inservice regarding proper chemical storage last week. Interview with Certified Nursing Assistant (CNA) #1 on 2/22/16, at 1:30 PM, revealed when she came in to work this morning she opened the left side of the cabinet to get some personal items out. CNA #1 stated both cabinets were locked at that time. CNA #1 stated she did not open the right side of the cabinet and did not see the bleach cleanser. An interview with the Administrator on 2/22/16, at 2:00 PM, revealed she had not been able to determine who placed the bleach cleanser in the cabinet but knew it had to be one of two CNAs that worked the previous night. The Administrator stated one on one inservice was done with both CNAs and the Nurse working. She stated she did not know who unlocked the cabinet and failed to lock it back but she has started inservice training with all staff on the floor. An interview with Licensed Practical Nurse (LPN) #3 on 2/23/16 at 4:40 PM, stated the CNAs usually bring the bleach cleanser back to her to lock up, but they didn't that night. She stated the Administrator called her on 2/22/16 and inserviced her to be sure she always gets the cleanser from the CNAs and locks it up. LPN #3 stated there were no residents on B Hall that wander at night. An interview with Certified Nursing Assistant (CNA) #6 on 2/24/16 at 5:00 PM, revealed she had the bleach cleanser in her hand when a resident called for assistance. She placed it in the cabinet to take care of the resident. She stated she intended to go back and get the cleanser, but forgot. CNA #6 stated the Administrator called her day before yesterday and told her to always be sure to return the cleanser to the nurse. Stated she would not forget again.	2020-09-01