cms_ND: 28

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
28	THE MEADOWS ON UNIVERSITY	355024	1315 S UNIVERSITY DR	FARGO	ND	58103	2019-05-16	880	D	1	1	FA2L11	> Based on observation, review of facility policy, and staff interview, the facility failed to follow infection control practices for 3 of 9 sampled residents (Resident #31, #36, and #45) observed during personal cares. Failure to follow infection control practices of hand hygiene during personal cares has the potential to spread infection to other residents, personnel, and visitors. Findings include: Review of the facility policy titled Handwashing/Hand Hygiene occurred on 05/16/19. This undated policy stated, . This facility considers hand hygiene the primary means to prevent the spread of infections. All personnel shall follow the handwashing/hand hygiene procedures to help prevent the spread of infections to other personnel, residents, and visitors. Use an alcohol-based hand rub containing at least 62% alcohol; or, alternatively, soap (antimicrobial or non-microbial) and water for the following situations: . Before and after direct contact with residents; . Before moving from a contaminated body site to a clean body site during resident care; . After removing gloves; . - Observation on 05/14/19 at 9:35 a.m. showed a certified nurse assistant (CNA) (#15) applied gloves and washed Resident #36's face, upper body and dressed the resident's upper body. The CNA (#15) removed the resident's brief and provided incontinence care for bowel and bladder. The CNA applied barrier cream to the resident's perineal area and continued to wash, dry, and lotion the resident's legs and feet, and dressed the resident's lower body. The CNA (#15) poured mouthwash into a cup, dipped a toothette swab into the mouthwash and completed Resident #36's oral cares. The CNA placed the resident's blanket at the foot of the bed, placed the call light and overbed table next to the resident before removing gloves and performing hand hygiene. - Observation on 05/14/19 at 11:38 a.m. showed two CNAs (#13 and #15) provide incontinent care for Resident #31 after a bowel movement (BM). The CNA (#15) changed gloves and, without performing hand hygiene, placed a clean brief and then removed his/her gloves. Both CNAs positioned the resident into her wheelchair and then the CNA (#15) performed hand hygiene. - Observation on 05/15/19 at 11:15 a.m. showed two CNAs (#8 and #9) checked and changed Resident #45's brief and provided perineal care after an incontinent BM. The CNA (#9) changed gloves and, without performing hand hygiene, placed a clean brief and assisted Resident #45 to a wheelchair. During an interview on the afternoon of 05/16/19, an administrative staff member (#1) stated she expected staff to follow appropriate hand hygiene procedures for infection control.	2020-09-01