cms_NE: 12350

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
12350	LANCASTER REHABILITATION CENTER, LLC	285275	1001 SOUTH STREET	LINCOLN	NE	68502	2011-01-19	441	F	1	1	VFG211	Based on observation, record review, and interview; the facility failed to ensure that staff followed accepted infection control practices. This had the ability to affect all residents residing in the facility. The facility census was 321 with a total of 35 sampled residents. Observation of Medication administration on Unit 5 by Medication Aide (MA) L on 1/12/11 at 7:15 AM; revealed no use of hand sanitizer or hand washing after giving medication to 5 residents. Observation of one of these incidents was the resident dropped a pill on the floor and MA L picked up the pill off the floor and took it back to dispose of it at the medication cart. MA L then got out a pill to replace it from the bubble pack and took the pill in the medication cup back into the resident room and gave it to the resident. At no time was washing hands observed or use of hand sanitizer. Observation of medication pass on Unit 4 dining room by MA L on 1/19/11 at 8:00AM; revealed this MA delivering medication to three residents without washing hands or applying hand sanitizer. Observation on Unit 2 of Licensed Practical Nurse (LPN) L on 1/19/11 at 9:20AM; revealed this LPN L holding a dirty clothing protector in hand and putting it in bag of soiled clothing protectors. This LPN L then got two clean gloves from a box and without use of hand sanitizer or handwashing then touched Resident 234 on the shoulders and assisted to push this resident in the wheelchair to own room. No hand sanitizer or handwashing observed with this event. Observation on Facility Tour of the Housekeeping Manager (CA) on 1/19/11 at 12:05PM; revealed CA picking up unidentifiable pieces off the floor on units 2, and 3 with no evidence of washing hands or use of hand sanitizer. Further observation of CA revealed that on Unit 1 this CA put a clean clothing protector on a resident and then put hands on this residents shoulders. Interview with the Assistant Director of Nursing (ADON) and Director of Nursing (DON) on 1/19/10 at 10:15AM; revealed that handwashing was reviewed in the Quality Assurance Meeting (QA) and a compentency testing of all staff is done at least annually. If the area or stations have a 10% outbreak of infections then the station is to be closed down and the residents eat in their rooms to prevent spread of infection. The ADON goes around each morning and reviews for any infections present. Each unit has Policy and Procedures for infection control. Nurse Managers have their own logs for each station to tract the infections. Record review of the Policy for Handwashing/Hand Hygiene-Staff dated 11/2/10; revealed the facility considers handwashing/hand hygiene as the primary means to prevent the spread of infection. The Policy Statement is as follows: 1) All employees will follow the handwashing/hand hygiene procedures to help prevent the spread of infections to other staff, resident, and visitors. 2) The staff are to wash their hands for ten(10) to fifteen (15) seconds using antimicrobial or non-antimicrobial soap and water under the following conditions: A) When hands a re visibly dirty or soiled with blood or other body fluids; B) After contact with blood, body fluids, secretions, mucous membranes, or non-intact skin; C) After handling items potentially contaminated with blood, body fluids, or secretions; and D) Before eating and after using a restroom. 3) The staff are to use Alcohol Based Hand Rub under the following conditions: A) Before direct contact with residents; B) Before donning gloves; C) Before performing any non-surgical invasive procedures; D) Before preparing or handling medications; E) Before handling clean or soiled dressings, gauze pads, etc.; F) Before moving from a contaminated body site to a clean body site during resident care; G) After contact with a resident's intact skin; H) After handling used dressings, contaminated equipment etc.; I) After contact with objects (e.g., medical equipment) in the immediate vicinity of the resident; and J) After removing gloves. 4) Wash hands utilizing soap and water per policy and after any direct resident contact occurs. When hand sanitizer is utilized, wash hands with soap and water after a maximum of five uses of the hand sanitizer. Direct resident contact examples are taking apical pulse, giving eye medication, treatments, IV's, injections, and tube feedings. 5) The use of gloves does not replace handwashing/hand hygiene.	2014-08-01