cms_PR: 79

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
79 CENTRO MEDICO WILMA N VAZQUEZ SNF 405025 ROAD 2 KM 39 5 BO ALGARROBO VEGA BAJA PR 693 2017-05-25 441 D 0 1 V2HC11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a recertification FOSS survey, observations, medication pass, staff interviews and review of the facility policies and procedures, it was determined that the facility failed to ensure that the registered nurse ( RN) performs hand hygiene accordance to infection control standard of practice after administering medications by mouth and failed to ensure to maintain appropriated infection control standard of practice during drug administration which can affect 1 out of 18 admitted residents (R ) at the facility. (R#7). Findings include: 1. On 5/23/17 at 8:25 am through 9:30 am during the drug pass the following was observed: a. The RN #13 was observed preparing and administrated medication by mouth to the resident on room [ROOM NUMBER]A during the process at 9:00 am it was observed open a individualized package of a pill, the RN did not open the package, then use the tap of the pen to punch the package cover and opened and put the pill in the small cup of medication. The RN proceed to administrated the medication to the resident and her hair cover her face and with the same glove that has to administer the medication turns her hair back and continue the administration of the medication. During the process a pill falls on the resident's bed, the RN picks up the pill, the resident asks to place it in the mouth, so the RN does it with the same gloves that touched her hair. When finish administrating the residents' medication removes her glove and proceed to wash her hand less than seven (7) second, not accordance to standard of practice of infection control and Centers for Disease Control and Prevention (CDC) Hand Hygiene Guideline in Health Care Setting, (MONTH) 25, 2002. Vol 51. Interview performed to the infection Control officer (employee #3) on 5/24/17 at 10:00 am stated that orientation related to hand washing was provided to the SNF personnel on (MONTH) 30, (YEAR) at 2:00 pm where the RN #13 attend and Competency was evaluated on 1/31/17. 2020-09-01