cms_NE: 12732

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
12732 SKYVIEW AT BRIDGEPORT 285224 505 O STREET BRIDGEPORT NE 69336 2011-07-28 441 D     DMKP11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Licensure Reference: 175 NAC 12-006.17 and 175 NAC 12-006.18C Based on observation, interview and record review, the facility failed to ensure A) clean laundry was handled in a manner to prevent cross contamination and B) that wound care was completed with techniques to prevent contamination for one resident. (Resident 40) The facility census was 30 and the stage 2 survey sample included 24 residents. Findings are: 175 NAC 12-006.18C A) During the stage 1 room observations on 7/20/2011 at 12:05PM, Laundry Aide-C (LA) was observed to enter room [ROOM NUMBER] with clothing on hangers over his/her left arm, held tight to his/her T-shirt. LA-C hung the clothes in the closet and exited the room. Moments later, LA-C re-entered room [ROOM NUMBER] with a stack of folded clothing held against his/her T-shirt with the left arm. In an interview while LA-C was putting the folded clothes in the drawer, LA-C stated "I do it all. I wash it, fold it and deliver it." In an interview on 7/21/2011 at 1:15PM, the Infection Control Nurse stated staff are not to hold clean clothes against their clothing. On 7/25/2011 at 9:20AM, LA-C was observed in the Laundry Room folding clean clothes, washers could be heard running. During an interview at that time, LA-C stated he/she had just started a load of towels. When asked if LA-C wore a covering when washing clothes, LA-C pointed to two gowns hanging on the wall just inside the dirty side door, and stated he/she wore one when sorting the clothes in the morning, but not when he/she was doing the laundry after that. A review of the facility provided policy titled Linen Handling revealed: -Clean Linen should be handled carefully. Hold it away from your body or uniform. If clean linen should come into contact with anything that is contaminated (the floor, another resident, etc.) place it directly into a soiled linen hamper so that it can be rewashed. 175 NAC 12-006.17 B) A review of Resident 40's record revealed the resident had recently had penile surgery and according to the Treatment Administration Record review, was to have penile care with Mupirocin ointment application to the wound area four times a day. Observation of the surgical wound care treatment on 7/25/2011 at 4:10PM revealed LPN-D picked up the tube of Mupirocin ointment, squeezed some ointment onto his/her gloved right index finger (the tube touched the glove) and applied the ointment to the top of the penile wound area. LPN-D then squeezed a second amount of ointment onto the same gloved finger (again, the tube touched the glove) and proceeded to apply the ointment to the lower portion of the penile surgical wound. LPN-D then removed the glove. A review of the facility provided policy titled Administering Topical Medications revealed the following instructions: -a. Open the container and place the tube upside down on the table surface. -b. Apply clean gloves. -c. Remove tongue blade from sterile wrapper -d. Place medication on the tongue blade and transfer to gloved hand. -e. Warm the medication in gloved hands and apply gently to the skin in the direction of the hair growth. -f. Repeat as necessary to cover the entire area, using a new tongue blade for each application. -g. Remove gloves. Wash and dry hands thoroughly. In an interview on 7/26/2011 at 9:05AM, the Director of Nurses stated the expectation of the nursing staff doing a wound treatment would be to squeeze the ointment out onto a clean surface each time - either a clean gloved finer or new tongue depressor. 2014-04-01