cms_TN: 1809

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
1809 NORRIS HEALTH AND REHABILITATION CENTER 445303 3382 ANDERSONVILLE HIGHWAY ANDERSONVILLE TN 37705 2019-06-05 880 D 0 1 K47S11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of the facility policy, medical record review, observation and interview the facility failed to maintain infection control practices for 1 resident (#52) of 3 residents observed for wound care. The findings include: Review of the facility policy Clean Dressing Change revised 12/09, revealed .Put on gloves .Remove soiled dressing, place in bag for disposal .Remove/dispose of gloves, wash hands, don clean gloves .Clean wound as ordered .Remove/dispose of gloves, wash hands, don clean gloves .Apply dressing and secure .Remove gloves .Wash hands . Medical record review revealed Resident #52 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Medical record review of the Physicians Orders revealed the following: 5/16/19 - [MEDICATION NAME] Powder (medication to treat wound) Apply .every day shift for wound care clean daily with iodine x 3 rinse with (normal saline) x 3 pat dry, apply collagen granules (medication to treat wound) to base of wound bed with (a wound dressing) cover with waterproof silicone dressing. 5/31/19 - Santyl Ointment (medication to debride wound) Apply to areas of slough (dead tissue) .topically every day shift. Observation of Resident #52's wound care on 6/5/19 at 10:15 AM, with the Wound Care Nurse (WCN) in the resident's room, revealed the WCN removed the soiled dressing from the resident's coccyx; removed and discarded the gloves; donned new gloves and did not wash the hands. Continued observation revealed the WCN disinfected the wound with iodine, removed the gloves, donned new gloves and did not wash the hands. Further observation revealed the WCN rinsed the wound with a 4 x 4 dressing soaked with normal saline, dried the wound, discarded the gloves and donned new gloves without washing the hands. Continued observation revealed the WCN applied Santyl ointment to the wound, discarded the gloves, donned new gloves and did not wash the hands. Further observation revealed the WCN applied the collagen granules to the wound, discarded the gloves, donned new gloves and did not wash the hands. Continued observation revealed the WCN completed the treatment and applied the dressing. Interview with the Wound Care Nurse on 6/5/19 at 10:25 AM, in Resident #52's room, confirmed she failed to wash her hands after glove removal during wound care. Interview with the Director of Nursing on 6/5/19 at 1:37 PM, in the conference room, confirmed during the observation of Resident #52's wound care, the facility's policy for infection control was not maintained when hands were not washed after glove removal. 2020-09-01