cms_AL: 1

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
1 BURNS NURSING HOME, INC. 15009 701 MONROE STREET NW RUSSELLVILLE AL 35653 2018-08-01 880 D 0 1 XRXN11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record review, interviews, and review of a facility policy titled Infection Prevention and Control Program/Plan, the facility failed to ensure a Certified Nursing Assistant (CNA) performed hand hygiene between removing a pair of soiled gloves and re-gloving during incontinence care. This affected Resident Identifier (RI) #12, one of one resident observed during incontinence care. Findings include: RI #12 was readmitted to the facility on [DATE]. Review of RI #12's quarterly Minimum Data Set assessment, with an Assessment Reference Date of 7/02/18, revealed RI #12 had severely impaired cognition and required extensive assistance of one person for toileting and personal hygiene needs. RI #12 was always incontinent of both bowel and bladder. A facility policy titled, Infection Prevention and Control Program/Plan, revised (MONTH) (YEAR), revealed: Policy: It is the policy of this facility to establish and maintain an Infection Prevention and Control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Policy Explanation and Compliance Guidelines: . 4. Hand Hygiene Protocol: a. All staff shall wash their hands . after PPE (personal protective equipment) removal . Incontinence care for RI #12 was observed on 07/31/18 at 04:17 PM. Incontinence care was performed by Employee Identifier (EI)#3 and EI#4, both CNAs. During the care, while cleaning RI#12's bottom, EI#3 had stool on her glove. EI#3 removed the soiled glove and put on a new pair without doing hand hygiene. When EI#3 was finished wiping RI #12, she changed gloves again and did not do hand hygiene. An interview conducted with EI#3 on 07/31/18 at 04:35 PM. EI#3 was asked what should be done between removing soiled gloves and putting on a new pair. EI#3 replied, use germ x (sanitizer). EI#3 was asked if she did that every time she changed her gloved during the care. EI#3 said she did not think so. On 8/01/18 at 11:10 AM, the Infection Control Nurse, EI #5, was interviewed. EI #5 was asked what should be done after removing soiled gloves, before putting on a new pair. EI#5 replied, wash hands or use hand sanitizer. EI #5 said if that was not done, it could cause harm. 2020-09-01