cms_TN: 80
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 80 | NASHVILLE COMMUNITY CARE & REHABILITATION AT BORDE | 445033 | 1414 COUNTY HOSPITAL RD | NASHVILLE | TN | 37218 | 2017-06-13 | 441 | E | 0 | 1 | PJSZ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on policy review, observation and interview, the facility failed to ensure practices were followed to prevent the potential spread of infection when 1 of 1 (Licensed Practical Nurse #7) nurses observed during medication administration failed to clean nebulizer equipment after use and to clean the stethoscope between residents, and when laundry staff failed to ensure the hand-washing sink and the floors were clean in 1 of 1 laundry areas. The findings included: 1. The facility's Medication Administration Nebulizer (Updraft) policy documented, .Rinse and disinfect the nebulizer equipment . 2. Observations in Resident #99's room on 6/13/14 at 9:45 AM, revealed LPN #7 entered the room, auscultated Resident # 99's chest with a stethoscope, placed the stethoscope around her neck, and exited the room. LPN #7 went into another resident's room (Resident #160) to administer medications via a percutaneous endoscopic gastrostomy (PEG) tube, removed the stethoscope from around her neck and checked placement of the PEG tube by putting the stethoscope to the resident's abdomen, then placed stethoscope back around her neck. LPN #7 returned to Resident #99's room, turned the breathing treatment of [REDACTED]. LPN #7 then placed the stethoscope around her neck. LPN #7 did not clean the stethoscope between residents, and did not clean the nebulizer equipment after use. Interview with the Director of Nursing (DON) on 06/14/17 at 1:04 PM, in the nurse's conference room, the DON confirmed that nebulizer equipment and stethoscopes should be cleaned after each use. The facility's Care of Equipment/Laundry Department documented, .All equipment used by the Laundry Department must be maintained in a daily/regular basis . 3. The facility's Cleaning/Laundry Department policy documented, .In order to maintain the cleanliness of the laundry room, provide a clean, fresh environment for the residents, visitors and staff and to reduce the potential for infection, the following procedures are taken by the laundry staff .Use creme cleanser and green pad to scrub sink and wipe dry with a clean rag . 4. Observations in the laundry room on 6/14/17 at 9:41 PM, revealed a white 2-compartment sink covered in dirty brown/gray build-up. There was a large area of standing water on the floor in front of the dryers. Interview with Laundry Staff Member #1 on 6/14/17 at 9:45 PM, in the laundry room, Laundry Staff Member #1 was asked about the water on the floor. Laundry Staff Member #1 stated, We have been walking in water for over a year in here .we have told them about it . Laundry Staff Member #1 was asked what the dirty sink was used for. Laundry Staff Member #1 stated, Hand washing . Laundry Staff Member #1 was asked how often they cleaned the sink. Laundry Staff Member #1 stated, As often as we can. Interview with the Director of Environmental Services (DES) on 6/14/17 at 2:49 PM, the DES was asked about the water on the floor in the laundry area. The DES stated, I have reported it, and was told nothing could be done about it .may be the drain or one of the pipes in that area. The DES was asked how often he expected laundry staff to clean the hand washing sink. The DES stated, Daily. The DES was asked whether it was acceptable for the hand washing sink to be covered with the dirty build-up. The DES stated, No . | 2020-09-01 |