cms_TN: 12925

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
12925 GOOD SAMARITAN HEALTH AND REHAB CENTER 445170 500 HICKORY HOLLOW TERRACE ANTIOCH TN 37013 2010-08-25 441 D 0 1 0TLC11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations and interviews, it was determined 2 of 5 (Nurses #1 and 2) nurses failed to follow infection control practices by not washing their hands during a dressing change or during medication pass. The findings included: 1. Observations in Resident #8's room on 8/23/10 at 4:15 PM, revealed Nurse #2 donned gloves, performed a fingerstick to check Resident #8's blood sugar level, removed the gloves and cleaned her hands with hand sanitizer. Nurse #2 returned to the medication cart and drew up the [MEDICATION NAME] R insulin for an injection. Nurse #2 entered Resident #8's room and washed her hands. Nurse #2 turned the water off with her bare hand and then dried her hands. Nurse #2 donned gloves, administered the injection of insulin into the abdomen of Resident #8, removed her gloves, and returned to the medication cart. Nurse #2 did not wash her hands after removing her gloves. During an interview at the nurse's station on 8/25/10 at 11:05 AM, the Director of Nursing (DON) was asked when would she expect a nurse to wash her hands. The DON stated, "It is our practice to wash hands when going into a room, after providing care, after removing gloves and before leaving the room. 2. Observations during a dressing change in Random Resident (RR) #1's room on 8/23/10 at 4:55 PM, revealed Nurse #1 washed his hands, pulled the curtain, donned gloves, assisted in turning RR #1, removed his gloves, donned another pair of gloves and proceeded to clean the wound. Nurse #1 did not wash his hands between assisting RR #1 to turn and starting the dressing change. 3. Observations in RR #2's room on 8/24/10 at 2:30 PM, Nurse #1 performed a dressing change on RR #2. After Nurse #1 washed his hands in RR #2's restroom, he returned to the hallway and opened the treatment book and then the treatment cart. Nurse #1 then removed a biohazard bag and scissors and to cut the bag in half. Half of the bag was used for trash and the other half was used for a clean barrier for the supplies. Nurse #1 removed the Allevyn dressing, single sterile 2 by (x) 2 gauze dressing package and [MEDICATION NAME] Powder. Nurse #1 applied the [MEDICATION NAME] Powder to the opened 2x2 gauze, opened the Allevyn dressing and then opened the treatment cart to remove a single sterile 4x4 gauze. Nurse #1 removed a bottle of Normal Saline (NS) from the treatment cart and applied NS to the 4x4 gauze. Nurse #1 then entered RR #2's room, donned clean gloves and removed the old dressing, placed the old dressing in the biohazard bag, removed gloves and donned another pair of clean gloves without washing his hands. During an interview at the Nurse's Station on 8/25/10 at 9 AM, Nurse #1 confirmed the lack of handwashing. 2015-06-01