cms_TN: 6442

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.

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
6442 ALAMO NURSING AND REHABILITATION CENTER 445467 580 W MAIN STREET ALAMO TN 38001 2015-04-08 371 D 0 1 G89H11 Based on policy review, observation and interview, the facility failed to ensure food was served under sanitary conditions when 2 of 16 (Certified Nursing Assistants (CNA #1 and 2) staff members failed to perform hand hygiene during dining observations. The findings included: 1. Review of the facility's Hand washing/Hand Hygiene policy documented, .All personnel shall follow the hand washing/hand hygiene procedures to help prevent the spread of infections to other personnel, resident, and visitors . 2. Observations in room 11 on 4/6/15 at 11:25 AM, revealed CNA #1 delivered a meal tray to room 11, the resident requested a straw CNA #1 left the room, went to the medication cart on the west hall and got 2 straws, returned to the room, opened the straw and placed the straw in the glass. CNA #1 placed her left hand on the bed rail, picked up the glass with her left hand and gave the resident a drink. CNA #1 placed her left hand back on the bed rail, used both hands to hold the glass for the resident to take a drink. CNA #1 again placed her left hand on the bed rail, pulled at her uniform top, placed her left hand on the bed rail and with her left hand gave the resident a drink. CNA #1 did not perform hand hygiene. 3. Observations in room 18 on 4/6/15 at 11:35 AM, revealed CNA #2 touched her uniform, pulled the over bed table to the resident's bedside and began to feed the resident without performing hand hygiene prior to feeding the resident. 4. Interview with the Director of Nursing (DON) on 4/8/15 at 9:45 AM, in the DON office, the DON was asked if it was acceptable to touch a bedrail or uniform while feeding a resident without performing hand hygiene. The DON stated, No ma'am. 2018-08-01