cms_MS: 27

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

This data as json, copyable

rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
27	WINSTON COUNTY NURSING HOME	255072	17560 EAST MAIN STREET	LOUISVILLE	MS	39339	2017-04-20	441	F	0	1	09RC11	Based on observation, staff interview, facility policy review and record review the facility failed to clean glucometer and use a surface barrier when performing fingerstick glucose testing to prevent the potential spread of infection for three (3) of 3 finger sticks observed on one (1) of three 3 Units; C unit. Findings include: Record review of the facility policy titled Blood Glucose Monitor with a dated revision date of 3/6/15 revealed, no instructions to clean the glucometer or using a barrier for supplies to prevent the potential spread of infection. Observation on 4/19/17 at 11:10 AM revealed a finger stick performed during med pass by Licensed Practical Nurse (LPN) #1 in room C47[NAME] LPN#1 gathered supplies (glucometer, lancet, gauze, alcohol prep, strip, sharps container, wipes container and a box of gloves) at the med cart and carried them into the resident's room holding supplies against her scrubs top. LPN #1 laid all the supplies on the top of the over bed table, without cleaning the table or using a barrier. LPN #1 gathered all the supplies, carried them against her scrub top and returned them to her med cart without cleaning. An interview on 4/20/17 at 8:15 AM with LPN #1 confirmed she did carry the supplies up against her scrub top into the resident's room and laid them on an uncleaned table top and without a barrier. After the finger stick she gathered the supplies, carried against her scrub top and returned them to the med cart without cleaning. LPN #1 revealed she had been trained to use a barrier but was nervous. LPN #1 confirmed by not using a barrier for supplies, bringing supplies back to the med cart without cleaning could cause cross contamination and infection. Observation on 4/19/17 at 3:45 PM revealed a finger stick performed during med pass by LPN #2. LPN #2 gathered supplies at the med cart (glucometer, gauze, alcohol prep, lancet and strip), did not clean the glucometer before entering room C47A or before performing the finger stick. LPN #2 laid the supplies on the top of the over bed table without cleaning the table top or using a barrier. After performing the finger stick LPN #2 did not clean the glucometer with an approved antibacterial and antiviral cleaner, before placing in the med cart drawer and disposing of the lancet, gauze and strip. Interview on 4/19/17 at 4:30 PM with LPN #2 confirmed she did not clean the glucometer before or after using on the resident in room C47A and did not place a barrier under the supplies placed on the table top. LPN #2 revealed she knew she should clean before and after use of the glucometer because it could cause cross contamination and an infection. Observation on 4/19/17 at 4:20 PM revealed a finger stick performed during med pass by LPN #3. LPN #3 gathered supplies (glucometer, lancet, gauze, strip and alcohol strip) entered room C56 and performed the finger stick without cleaning the glucometer prior to using on the resident. LPN #3 returned to the med cart and returned the supplies and did not clean the glucometer before placing in the med cart drawer. Interview on 4/19/17 at 4:30 PM with LPN #3 confirmed she did not clean the glucometer before or after using on the resident in room C56. LPN #3 revealed she learned in nursing school to always clean the glucometer before and after using on a resident to prevent an infection, but was very nervous. Interview on 4/19/17 at 4:50 PM with the Director of Nursing (DON) revealed she and another nurse are responsible for providing training to the nurses on finger sticks. The DON revealed the nurses should know the process in finger sticks and it could be an infection control issue. Record review of the in-service, dated (MONTH) (YEAR), contained instruction on finger stick blood sugar (Accucheck) which revealed the signature of LPN #2 but did not contain the signatures of LPN #1 or LPN #3.	2020-09-01