cms_TN: 6794

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
6794 SKYLINE OF MIDSOUTH HEALTHCARE AND REHABILITATION 445436 2380 JAMES ROAD MEMPHIS TN 38127 2016-01-07 441 D 0 1 0CT011 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on policy review, observation, and interview, 2 of 5 (Licensed Practical Nurse (LPN) #1 and 2) nurses failed to ensure practices to prevent the potential spread of infection and cross contamination were maintained during medication administration. The findings included: 1. The facility's Handwashing/Hand Hygiene policy documented, .Policy Statement This facility considers hand hygiene the primary means to prevent the spread of infections . Policy Interpretation and Implementation . 5. Employees must wash their hands for at least fifteen (15) seconds using antimicrobial or non-antimicrobial soap and water under the following conditions . u. After removing gloves . The facility's Personal Protective Equipment - Using Gloves policy documented, .Objectives 1. To prevent the spread of infection . Miscellaneous . 5. Wash hands after removing gloves. (Note: Gloves do not replace handwashing.) . 2. Observations in Resident #52's room on 1/4/16 beginning at 4:32 PM, revealed LPN #1 washed her hands, obtained a blood pressure on this resident, applied gloves, without performing hand hygiene, checked placement of a Percutaneous Endoscopy Gastrostomy (PEG) tube, and checked the residual. LPN #1 removed her gloves, without performing hand hygiene, went to the medication cart and prepared a medication, dropped a piece of paper on the floor, picked up the paper, and continued to prepare medications, without performing hand hygiene. LPN #1 entered Resident #52's room, applied gloves, administered this medication per PEG tube to this resident, and removed her gloves, without performing hand hygiene. LPN #1 went to the medication cart, prepared another medication at the cart, entered Resident #52's room, applied gloves, administered this medication per PEG tube, and removed her gloves, without performing hand hygiene. LPN #1 went to the medication cart and prepared a medication, entered Resident #52's room, applied gloves, and administered this medication per PEG tube to this resident, removed her gloves, and washed her hands. 3. Observations in Resident #54's room on 1/4/16 beginning at 5:03 PM, revealed LPN #2 washed her hands, walked to the medication cart, cleansed a glucometer, prepared the insulin [MEDICATION NAME], applied gloves without performing hand hygiene, entered Resident #54's room, and performed an accucheck on this resident. LPN #2 removed her gloves, did not perform hand hygiene, walked to the medication cart, obtained another alcohol prep, applied gloves and administered insulin to this resident. LPN #2 removed her gloves, without performing hand hygiene, walked to the medication cart and cleansed the glucometer. 4. Interview with the Director of Nursing (DON) on 1/6/16 at 2:20 PM, in the conference room, the DON was asked what should be done after removing or prior to donning gloves. The DON stated, Either sanitize hands or wash with soap and water. 2018-05-01