cms_TN: 2478

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
2478	MAPLEWOOD HEALTH CARE CENTER	445412	100 CHERRYWOOD PLACE	JACKSON	TN	38305	2018-01-26	880	D	0	1	XVIH11	Based on policy review, observation, and interview, the facility failed to ensure practices were followed to prevent the potential spread of infection when 3 of 8 (Licensed Practical Nurse (LPN) #1, 2, and 3) nurses failed to perform hand hygiene during medication administration. The findings included: 1. The facility's Medication Administration policy documented, .perform hand hygiene prior to medication preparation for each medication pass . 2. The facility's .Glucometer-Performing Blood Glucose Test . documented, .perform hand hygiene before putting on and taking off gloves .cleanse area that is to be punctured .with an alcohol swab. Allow area to dry . 3. Observations in Resident #196's room on 1/24/18 at 4:50 PM, revealed LPN #3 gathered supplies for a blood glucose check and donned gloves without performing hand hygiene. LPN #3 cleansed Resident #196's finger with alcohol and fanned the area with her hand. LPN #3 performed the blood glucose check and placed the container of testing strips in her pocket. LPN #3 removed the gloves, washed hands her hands, and returned to the med cart. LPN #3 then removed the container of testing strips from her pocket and placed them on the computer keyboard. LPN #3 drew up insulin, entered Resident #196's room, and administered the insulin without performing hand hygiene. Observations in Resident #439's room on 1/25/18 beginning at 3:29 PM, revealed LPN #1 administered medication to Resident #439 without performing hand hygiene. LPN #1 then washed and dried her hands, and used the same towel to turn off the water. LPN #1 returned to the medication cart, signed out the medication as administered, and gathered medication for Resident #443. LPN #1 then entered Resident #443's room, and administered the medication. LPN #1did not perform hand hygiene before or after medication administration. Observations in Resident #102's room on 1/25/18 at 3:53 PM revealed, LPN #2 administered medications to Resident #102, and did not perform hand hygiene after administering the medication. Interview with the Director of Nursing (DON) on 1/25/18 at 4:58 PM, at the main nurses' station, the DON confirmed that hand hygiene should be performed upon entering a resident's room to administer medication. The DON confirmed that a container of blood glucose strips should not be placed in a nurse's pocket or on the computer keyboard.	2020-09-01