cms_OR: 61
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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facility_id
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address
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city
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state
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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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| 61 |
PROVIDENCE BENEDICTINE NURSING CENTER |
385018 |
540 SOUTH MAIN STREET |
MOUNT ANGEL |
OR |
97362 |
2017-07-31 |
441 |
D |
1 |
1 |
LC2W11 |
> Based on observation, interview and record review it was determined the facility failed to ensure proper handwashing during meals for 2 of 5 dining areas observed during meal observations. This placed residents at risk for cross-contamination. Findings include: 1. On 7/24/17 at 12:14 pm Staff 14 (CNA) was observed to push a resident in her/his wheelchair into the main dining room. Staff 14 then provided a clothing protector to the resident. Staff 14 poured a cup of liquid into a cup from a pitcher on the table and served it to the resident and sat down next to the resident. Staff 14 was not observed during this time to wash or sanitize her hands. On 7/24/17 at 12:19 pm Staff 14 was observed touching her face with her hands while sitting with the resident. Staff 14 was not observed to wash her hands or sanitize her hands. On 7/24/17 at 12:21 pm Staff 14 was observed to touch a resident's cup with her bare hand around the rim of the cup when passing the cup to the resident. This surveyor then intervened. On 7/24/17 at 12:22 pm Staff 14 stated staff were to wash their hands in the bathroom in the hallway or use hand sanitizer when their hands were soiled. Asked about touching the resident's wheelchair, the resident, the pitcher, her face and the resident's cup without washing her hands, Staff 14 stated she wasn't paying attention to what she touched and acknowledged she should have washed her hands prior to assisting the resident. When asked about handling the resident's cup by gripping the rim of the cup, Staff 14 acknowledged she should not have touched the rim of the cup. 2. On 7/24/17 at 12:15 pm Staff 15 (CNA) was observed to push a resident in her/his wheelchair into the main dining room and sat down next to the resident. Staff 14 was not observed at any time to wash or sanitize her hands. On 7/24/17 at 12:16 pm Staff 15 was observed to touch the trash lid while throwing an item away before returning to the table where the resident sat. Staff 15 was not observed at any time to wash or sanitize her hands. On 7/24/17 at 12:21 pm Staff 15 was observed to handle the resident's fork while assisting the resident. This surveyor then intervened. On 7/24/17 at 12:24 pm Staff 15 stated she was familiar with the requirement to wash hands before assisting residents. Staff 15 stated she didn't usually work in this part of the facility and she didn't see any hand sanitizer available. Staff 15 acknowledged she should have washed or sanitized her hands prior to assisting residents. 3. On 7/24/17 from 8:42 am to 8:49 am Staff 17 (CNA) and Staff 18 (CNA) were observed passing breakfast trays to resident's rooms. Staff 17 and Staff 18 were both observed to enter resident rooms, touch various objects inside the rooms and return to the cart in the hall in order to retrieve another breakfast tray. Staff 17 and 18 did not wash or sanitize their hands between meal delivery to resident's rooms. Staff 17 and 18 were stopped by this surveyor and asked about their handwashing policy while passing meal trays. Staff 17 and 18 both stated when they remembered they would wash or sanitize their hands while passing trays. On 7/24/17 at 8:49 am Staff 17 and 18 both acknowledged they touched the resident's personal belongings and had not washed or sanitized their hands before passing another tray for another resident. Staff 17 and Staff 18 both proceeded to the meal cart in order to retrieve another tray without washing or sanitizing their hands and this surveyor again intervened. The staff were then observed to wash their hands before continuing to deliver meal trays. 4. On 07/24/17 at 12:03 pm Staff 19 (CNA), Staff 20 (CNA) and Staff 21(CNA) were observed passing lunch trays from the meal cart to residents in the dining room. Staff 19 touched the resident's wheelchair and the resident. Staff 19, Staff 20 and Staff 21 each went to get another lunch tray from the meal cart and were stopped by this surveyor and asked when should hands be washed or sanitized while passing meal trays. Staff 19 stated she would wash or sanitize her hands after all the trays were passed. Staff 20 stated he would wash or sanitize his hands if he touched the resident's food. Staff 21 stated he washes or sanitizes his hands if he goes into the back room to get a drink for the resident. Staff 19 and Staff 20 stated they were not sure what the policy was for handwashing between passing meal trays. On 7/24/17 at 12:10 pm Staff 19, 20 and 21 acknowledged they did not wash or sanitize their hands between passing meal trays. In an interview on 07/25/17 at 8:43 am Staff 2 (DNS) acknowledged the CNAs should wash or sanitize their hands between passing meal trays. Staff 2 stated the staff were not meeting expectations for proper hand hygiene during meals. |
2020-09-01 |