cms_RI: 1831

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.

Data source: Big Local News · About: big-local-datasette

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
1831	ST ANTOINE RESIDENCE	415106	10 RHODES AVENUE	NORTH SMITHFIELD	RI	2896	2011-08-01	441	E	0	1	0L2R11	Based on surveyor observations and staff interview, it was determined the facility failed to maintain an effective Infection Control program relative to Contact Precautions and their Dry-Clean Technique for resident, ID # 8 with a known organism, clostridium difficile (C-Diff) . Findings are as follows: A. The facility's policy on DRESSING-CLEAN TECHNIQUE PROCEDURE state "to prepare clean, dry work area and wash hands before and after procedure." B. The facility's procedure on CONTACT PRECAUTIONS are "after gown removal, ensure that clothing does not contact potentially contaminated environmental surfaces to avoid transfer of microorganisms to other residents or environments." Additionally the policy states, "In addition to wearing gloves utilizing standard precautions, wash hands immediately with soap and water" On 7/28/2011, at approximately 12:30 PM the surveyor observed the nurse preparing the treatment dressing in direct contact with the bedside table. In addition, the surveyor observed that the nurse did not wash her hands before and after the treatment to a pressure ulcer. Additionally, at the same time as above, the surveyor observed the nurse place the soiled dressing into a plastic bag, then removed the plastic bag from the room and carried it down the hallway in direct contact with her clothing. On 7/28/2011, at approximately 1:00 PM, the surveyor interviewed the nurse who changed the dressing, and she stated she failed to prepare a clean, dry work area and wash her hands prior to and after the treatment according to the facility's policies. On 7/29/2011 at 10:00 AM, the surveyor interviewed the Infection Control Nurse regarding contact precautions and she stated, "the nurse should not hold the bag (with the discarded dressing supplies) next to her clothing and that all items should be considered contaminated."	2014-06-01