cms_TN: 86

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.

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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
86	NASHVILLE COMMUNITY CARE & REHABILITATION AT BORDE	445033	1414 COUNTY HOSPITAL RD	NASHVILLE	TN	37218	2018-07-25	584	D	0	1	565T11	Based on observation and interview the facility failed to maintain clean and sanitary resident equipment for 1 of 24 sampled residents (Resident #117) reviewed. Findings include: Observation of Resident #117 on 7/23/18 at 10:48 AM in the B3 day room revealed he was seated in a wheelchair. Continued observation revealed the left side of the wheelchair had rusted areas on the lower metal bar. Continued observation revealed the wheelchair frame was dusty, dirty, and had white spotted debris over the metal frame, foot rest and handles. Observation on 7/23/18 at 11:47 AM in Resident #117's room revealed the resident had dried debris and dirt on the upper side rails. Continued observation revealed there were light blue pads attached to the side rails by Velcro tabs and had black marks and spotted brown and yellow debris on them. Observation on 7/24/18 at 9:10 AM in Resident #117's room revealed the side rails and light blue pads remained unchanged from the observation the day before. Continued observation revealed the resident's wheelchair was stored in the bathroom and the rust, dirt, and white spotted debris was still present. Observation and interview of Resident #117's bed and wheelchair on 7/24/18 at 11:30 AM with Housekeeper #3 in the resident's room revealed dried debris on the side rails, dirty blue padding to the upper side rails and the wheelchair in the bathroom with rusted areas, and it was dirty with debris and white spots on the metal frame, foot rest and handles. Interview with Housekeeper #3 when asked when resident wheelchairs were cleaned stated, I'm not sure. The Housekeeper was asked when resident beds were cleaned and stated, Everyday. Continued interview with the Housekeeper when asked when resident padding was cleaned stated, They should be wiped down every day but if the resident is in the bed, it's kind of hard. The Housekeeper was shown Resident #117's wheelchair in the bathroom and stated, It don't look too good. It could use a rag or two. It needs to be wiped down. The Housekeeper was asked again how often resident wheelchairs were cleaned and stated, We took the wheelchairs down and hosed them down and wiped them up. When asked when that was, the Housekeeper stated, It's been quite a while. (MONTH) or (MONTH) of last year. The Housekeeper confirmed the side rails, blue pads and wheelchair should have been cleaned with a disinfectant. Interview with the Housekeeping Director on 7/24/18 at 12:12 PM in Resident #117's room when asked how often deep cleaning was performed on residents wheelchairs stated, Everywhere else it's always been the 3rd shift (Certified Nurse Aides) that are supposed to clean the wheelchairs. It's not happening here. Continued interview revealed the Housekeeping Director stated, We pressure washed every wheelchair last (MONTH) and as needed and when a resident is discharged . The Housekeeping Director was shown the dirty blue side rail pads (Housekeeper #3) had already cleaned the dried debris on the side rail) and the resident's wheelchair in the bathroom and stated, It definitely needs to be cleaned. The beds are cleaned on a daily basis and dusted underneath. We deep clean them every month, as needed and upon discharge. The pads should be cleaned daily or change them out. I do audits on rooms but beds are not included on it. I'm going to add it now though. Stated, I'm going to get with the maintenance man and see if we can get the rust off of here and clean this wheelchair up. The Housekeeping Director confirmed the facility failed to maintain Resident #117's equipment in a clean and sanitary manner.	2020-09-01