cms_NV: 32
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.
This data as json, copyable
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 32 |
LEFA SERAN SNF |
295001 |
1ST AND A ST/ PO BOX 1510 |
HAWTHORNE |
NV |
89415 |
2019-01-10 |
880 |
D |
0 |
1 |
0DP411 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, clinical record review and document review, the facility failed to perform hand hygiene during wound care for 1 of 12 sampled residents (Resident #3). Findings include: Resident #3 Resident # 3 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. A physician's orders [REDACTED]. Dressing with 4x4 and [MEDICATION NAME] gauze. On 01/09/19 at 4:05 PM, wound care treatment observation was conducted with a Licensed Practical Nurse (LPN). The LPN removed the old dressing from Resident #3's left foot and proceeded to perform wound care. The LPN flushed the wound with a prefilled syringe with Normal Saline, patted dry the wound, applied the [MEDICATION NAME] ointment and covered it with a [MEDICATION NAME] non-adhering dressing. The LPN removed the gloves on both hands and donned a new pair of gloves without washing hands with soap and water or using an alcohol-based sanitizer. Then the LPN applied the [MEDICATION NAME] gauze to cover the wound. On 01/09/19 at 4:10 PM, the LPN confirmed not washing hands after the dirty gloves were removed and before donning the new pair of gloves and using dirty gloves for a clean procedure. The LPN verbalized not following the hand washing procedure could have contaminated the wound. On 01/09/19 at 4:10 PM, the Chief Nursing Officer/Infection Control verbalized the hand washing had to be done before donning gloves and before applying the new dressing to prevent spreading infections. The facility policy titled, Hand Hygiene, effective 01/23/12, documented to use antimicrobial soap and water or an alcohol-based hand rub after contact with a patient's intact skin, after coming in contact with bodily fluids and dressings and always after removing gloves. |
2020-09-01 |