cms_OR: 76

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

rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
76 PROVIDENCE BENEDICTINE NURSING CENTER 385018 540 SOUTH MAIN STREET MOUNT ANGEL OR 97362 2018-12-19 880 E 0 1 NNTH11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review it was determined the facility failed to clean and sanitize a community use glucometer according to manufacturer recommendations for 1 of 4 units (Harmony Hall) reviewed for infection control. This placed residents at risk for exposure to bloodborne pathogens. Findings include: The facility glucometer operator's manual for multiple resident use revealed the glucometer was to be cleaned after each resident use with a germicidal disposable wipe to clean the back, front and around the test strip slot. The meter was to be dried. The meter was then to be sanitized with a fresh germicidal wipe to disinfect by gently wiping the front, back and sides of the meter three times horizontally then vertically. The test strip slot was also to be disinfected with the wipe. The meter was to then be dried. The Blood Glucose Monitoring Nursing Department Policy revised on 6/23/18 revealed the glucometers were to be cleaned after each resident use with the germicidal disposable wipes. The 12/2017 facility Nursing Center Orientation list revealed glucometer cleaning was to be reviewed with staff upon hire. On 12/33/18 at 11:35 AM Staff 6 (LPN) was observed to don gloves and check Resident 26's CBG with the community use glucometer. The glucometer did not come in contact with Resident 26's skin. After the CBG was checked, Staff 6 was observed to clean the glucometer with an alcohol pad. At 11:38 AM Staff 6 stated she cleaned the glucometers with either the germicidal wipes or with the alcohol wipes. The sanitary wipes were observed at the nurses station and were EPA/Environmental Protection Agency approved to be effective against bloodborne pathogens. Staff 6 indicated she previously checked Resident #s 4, 14, 20, 26, 27 and 51's CBGs. Two residents were near the nurses station at the time she checked the CBG and used the germicidal wipes to clean the glucometer. Record review indicated Resident 4, 14, 20, 26 and 51 resided on the long term care unit and did not have a [DIAGNOSES REDACTED]. On 12/13/18 interviews with the licensed nurses (#s 25, 26, 27 and 28) on the additional three facility units (Enhanced Care Unit, Cedar Lane and Transitional Care Unit) revealed the licensed staff used the germicidal wipes to clean the glucometers after each resident use. On 12/14/18 at 8:52 AM Staff 1 (DNS) indicated it was standard of practice to use the germicidal wipes to clean the community use glucometers. The nurses were educated upon hire and the procedure was reviewed during infection control training. The germicidal wipes were available for the medication/treatment carts and/or at the nurse's station. 2020-09-01