cms_RI: 16
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
16 | GREENWOOD CENTER | 415008 | 1139 MAIN AVENUE | WARWICK | RI | 2886 | 2019-11-26 | 880 | D | 0 | 1 | FCLN11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a two-surveyor observations and staff interview, it has been determined that the facility failed to provide care to prevent the development of infection by performing hand hygiene procedures by staff involved in direct resident contact for 1 of 2 sample residents observed for wound care (Resident ID #43). Findings are as follows: Review of the facility's Wound Dressings Aseptic policy with a revision date of 11/01/2019 revealed in part, If gloves become contaminated, remove gloves, cleanse hands, and apply clean gloves . A two-surveyor observation of Resident ID #43's dressing change on 11/21/2019 starting at 10:33 AM by a unit nurse, Staff A, revealed the following: - Left stoma (an artificial opening that allows feces from the intestine to pass) was cleansed with normal saline, patted dry three times, gloves were removed and Staff A did not perform hand hygiene before applying clean gloves. - Left heel washed with normal saline twice, patted dry, Santyl wound ointment applied directly to wound bed with right fingertip, wearing the same gloves used to cleanse the wound, no hand hygiene performed after removing gloves and applying clean gloves. - Left top of great toe washed with normal saline, Iodosorb applied directly to wound with right fingertip, gloves removed with no hand hygiene performed prior to applying clean gloves. An addition one surveyor observation on 11/21/2019 at approximately 11:00 AM which was occured following the above wound treatments. The coccyx wound was cleansed with normal saline, Santyl wound ointment applied to wound bed, gloves removed with no hand hygiene performed prior to applying clean gloves. Staff A then applied [MEDICATION NAME] dressing, after she discardded the used supplies, Staff A removed her gloves and gown and walked back to the nurse's station and medication cart without performing hand hygiene. During an interview on 11/26/2019 at 11:25 AM, the two-surveyor informed the Director of Nurses that Staff A did not perform hand hygiene after removing contaminated gloves and prior to applying clean gloves during the dressing changes for Resident ID #43. | 2020-09-01 |