cms_ND: 92
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 92 | MINOT HEALTH AND REHAB, LLC | 355031 | 600 S MAIN ST | MINOT | ND | 58701 | 2018-08-16 | 880 | E | 0 | 1 | B0I611 | Based on observation, review of facility policy, and staff interview, the facility failed to follow infection control practices for 9 of 19 sampled residents (Resident #6, #8, #14, #15, #35, #37,#46, #48, and #55). Failure to follow infection control practices during personal cares and in the laundry has the potential to transmit infections to other residents, staff, and visitors. Finding include: Review of the facility policy titled Infection Prevention and Control Manual Standard Precautions occurred on 08/16/18. The policy, dated (YEAR), stated, . Gloves . Sterile gloves and examination gloves are removed: . Between resident contacts. Before touching uncontaminated surfaces or other areas of the same resident's body that may be contaminated. Review of the facility policy titled, Hand Hygiene occurred on 08/16/18. The policy, dated (YEAR), stated, . Appropriate hand hygiene is essential in preventing transmission of infectious agents. Staff must perform hand hygiene even if gloves are utilized. - Observations on all days of survey showed the following infection control breaches: * 08/13/18 at 11:36 a.m., Two certified nursing assistants (CNAs) (#10 and #25) assisted Resident #48 to the toilet utilizing a gait belt. One CNA (#10) removed the resident's wet brief, and without performing perineal care, placed a clean brief. The second CNA (#25) placed an oxygen tank on Resident #48's wheel chair, bagged the trash, and left the room with the trash without performing hand hygiene. * 08/13/18 at 3:08 p.m., A CNA (#20) transferred Resident #55 to the toilet using a mechanical lift. The CNA (#20) removed her gloves, exited the room without performing hand hygiene, and pushed the stand lift to another unit. * 08/14/18 at 9:52 a.m., Two CNAs (#8 and #9) transferred Resident #35 into bed using a mechanical lift and provided personal cares. One of the CNA's (#8) removed her gloves and exited the room with the lift. The other CNA (#9) checked Resident #35's brief, removed her gloves, placed a pillow between his knees, covered him with a blanket, handed him his call light, then performed hand hygiene. * 08/14/18 at 11:40 a.m., An unidentified CNA entered Resident #6 and #14's room. The CNA provided personal cares to Resident #6 and failed to perform hand hygiene. The CNA then assisted Resident #14 to the bathroom. The CNA provided personal cares to Resident #14 and failed to perform hand hygiene. The CNA wheeled Resident #14 into the hallway, and discarded the garbage in the soiled utility room, then performed hand hygiene. * 08/14/18 at 11:48 a.m., Two CNAs (#9 and #10) transferred Resident #35 to his wheelchair using a mechanical lift. One of the CNAs (#10) removed her gloves, pushed Resident #35 out into the hallway, re-entered the room, then washed her hands. * 08/14/18 at 3:23 p.m., two CNAs (#14 and #15) provided perineal care to Resident #37 after an incontinent bowel movement. The CNA (#14) failed to remove her gloves before she placed a new brief on the resident, straightened the bed linens, adjusted the resident's pillow, and opened the room blinds. * 08/14/18 at 4:20 p.m., A CNA (#23) donned gloves and assisted Resident #46 to bed utilizing a sit to stand lift. Observation showed the resident's brief soaked with urine. The CNA (#23) performed perineal care and applied a new brief, then removed her gloves and left the room without performing hand hygiene. * 08/15/18 at 9:11 a.m., Two CNAs (#10 and #11) transferred Resident #35 to bed using a mechanical lift, and provided personal cares. The CNAs (#10 and #11) checked Resident #35's brief, removed their gloves, placed a pillow behind his back, placed blue boots on his feet, gave him a drink of water via a straw, covered him with a blanket before lowering the bed, then performed hand hygiene. The uncovered catheter bag laid directly on the floor when the bed was in it's lowest position. * 08/15/18 at 3:59 p.m., Observation showed Resident #8 sitting on the commode next to her bed drinking coffee and holding a cookie. She told the CNA (#4) she had a bowel movement. The CNA (#4) gloved, assisted Resident #8 to stand, performed perineal cares, adjusted the resident's clothing, and assisted her to pivot into her wheelchair, then emptied the commode bucket into the toilet. The CNA (#4) then walked back to the sink in Resident #8's room, rinsed the bucket with water obtained from the faucet, walked into the bathroom, and emptied the bucket into the toilet for a second time. The CNA (#4) failed to sanitize the sink after rinsing the commode bucket. Observation showed no bedpan washer device available in the bathroom for rinsing the commode bucket. * 08/15/18 at 4:19 p.m., Two CNAs (#4 and #7) provided Resident #15's incontinence cares, changed her clothing, transferred her into her wheelchair using a mechanical lift, brushed her hair, placed her nasal cannula (oxygen), and removed their gloves. One of the CNAs (#4) washed his hands, while the other CNA (#7) offered Resident #15 a drink of water via a straw before washing her hands. The above staff members failed to sanitize and/or perform hand hygiene after removing soiled gloves, prior to providing additional cares, and/or prior to exiting the residents' rooms, and failed to properly sanitize the sink and rinse the commode bucket. During an interview on 08/15/18 at 2:30 p.m. two administrative nurses (#16 and #17) confirmed staff should perform perineal care after urinary incontinence and should perform hand hygiene before exiting the resident's room. Review of the facility policy titled, Laundry Area and Equipment occurred on 08/16/18. The policy, dated 12/18/06, stated, .ceiling vents, floor fans and table fans are cleaned to remove lint and dust once a week. - Observation in the laundry occurred on 08/15/18 09:25 a.m. with a Housekeeping/Laundry administrator (#26). Observation in the clean linen folding area identified two fans with heavy lint/dust build up blowing on clean linen. The staff member (#26) confirmed the fans needed cleaning and stated the facility had no cleaning schedule for the fans. | 2020-09-01 |