cms_NE: 5825
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5825 | ST JANE DE CHANTAL | 285004 | 2200 SOUTH 52ND STREET | LINCOLN | NE | 68506 | 2015-10-29 | 441 | E | 0 | 1 | 484F11 | Licensure Reference Number: 175 NAC 12-006.17 Based on observation, interview and policy review; the facility failed to ensure the blood glucose machine was sanitized in a manner to prevent cross contamination for three residents (137, 155 and 2) and failed to ensure clean linens were handled in a manner to prevent contamination when being carried for use. This had the potential to effect 7 residents that utilized the blood glucose machine and all residents who utilized the facility's linen. The facility's census was 121. Findings are: A. Observation of Licensed Practical Nurse (LPN) D on 10/26/15 at 12:10 PM revealed LPN D carry the Accu Check Inform II machine into Resident 155's room and lay it on Resident 155's bed side table with no barrier. After completing the blood glucose testing LPN D carried the Accu Check machine to the medication cart and laid it down with no barrier. LPN D proceeded to clean the Accu Check machine with a Sani Cloth disposable wipe. LPN E wiped the machine three times on the front and sides but did not come in contact with underside of the machine and sat the machine back on the cart to air dry. On 10/26/15 at 12:38 PM LPN D then carried the same Accu Check machine into Resident 2's room and laid it on Resident 2's bedside table with out a barrier. After the completion of the glucose testing task, LPN D carried the Accu Check machine back out to the medication cart and laid it down with out a barrier. LPN D again used a Sani Cloth disposable wipe and wiped off the front and sides of the machine but did not cleanse the underside. LPN D again allowed the machine to air dry. Observation on 10/26/16 at 12:38 PM revealed LPN D take the same Accu Check machine into Resident 137's room and lay it on Resident 137's bed side table with out a barrier. After completion of the blood glucose testing LPN D walked the Accu Check machine down the hallway and into the supply room for storage without performing any sanitation of the machine. Interview with LPN D on 10/26/16 at 12:45 PM confirmed that the Accu Check Inform II machine was used on all of the residents requiring blood glucose testing on that hallway. Interview on 10/29/15 at 11:41 AM with the Infection Control Preventionist revealed that the bottom of the blood glucose machine would need to be sanitized to prevent cross contamination between residents. B. Observation on 10/20/2015 8:55 AM revealed Nurse Aide (NA) G carrying two soaker pads against the left sleeve of NA G's uniform. Observation on 10/20/2015 at 9:05 AM revealed Laundry Aide (LA) J pushing a cart of clean linens towards the linen closet, LA J was observed to pull a door jamb out of the clean linen cart and use it to prop open the door to the linen closet while unloading the clean linen. LA J then pulled out the door jam and laid it on top of the remaining clean linens in the linen cart. Observation of Nurse Aide (NA) F on 10/20/15 at 9:08 AM revealed NA F retrieving clean bed linens and hugging them against NA F's uniform while carrying them down the hallway and into a resident's room. Observation on 10/26/15 at 9:49 AM revealed Licensed Practical Nurse (LPN) D hugging two clean soaker pad and some bed linen down the hallway and into a resident room. Interview on 10/29/15 at 11:40 AM with the Infection Control Preventionist revealed staff are supposed to carry clean linens away from the body in order to protect them from contamination. | 2019-08-01 |