cms_AL: 88

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
88	HATLEY HEALTH CARE INC	15023	300 MEDICAL CENTER DRIVE	CLANTON	AL	35045	2018-05-10	880	D	0	1	YKK111	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and review of a facility policy titled, Incontinent & (and) Catheter Care, the facility failed to ensure a Certified Nursing Assistant (CNA) washed her hands during glove changes while performing incontinent care for Resident Identifier (RI) #123. This was observed on 05/09/18, and affected RI #123, one of one residents observed for incontinence care. Findings Include: A review of a facility policy titled, INCONTINENT & CATHETER CARE, with a revised date of 04/06/10 revealed: . IV. COMPLETION 1. Wash hands and change gloves as deemed necessary during the procedure to prevent the spread of infection. RI #123 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. On 05/09/18 at 9:05 a.m., Employee Identifier (EI) #5, a CNA was observed performing incontinent care for RI #123. EI #5 gathered the supplies washed her hands and put on gloves. EI #5 positioned RI #123, loosened the brief and wiped the perineal area of RI #123. EI #5 removed her gloves, picked up a clean brief and put on clean gloves. EI #5 rolled RI #123 to the right side and cleaned the buttock area. EI #5 placed the clean brief under RI #123, and applied moisture barrier cream. EI #5 removed her gloves and put on clean gloves. EI #5 placed a clean pad under RI #123. EI #5 did not wash her hands between glove changes. On 05/10/18 at 8:35 a.m., an interview was conducted with EI #5. EI #5 was asked what was the policy on washing hands during incontinent care. EI #5 replied, wash hands before and after resident care and between glove changes. EI #5 was asked, what should be done when gloves are removed. EI #5 replied, wash hands or use sanitizer. EI #5 was asked if she washed her hands between glove changes. EI #5 replied, no. EI #5 was asked what was the risk when removing gloves during incontinent care and not washing hands. EI #5 replied, cross contamination. On 05/10/18 at 1:20 p.m., an interview was conducted with EI #3, the Registered Nurse (RN)/Infection Control Nurse. EI #3 was asked what was the policy on hand washing hands during glove changes. EI #3 replied, any time going from dirty to clean and any time gloves were visibly soiled. EI #3 was asked if staff should wash their hands with each glove change. EI #3 replied, yes staff should wash their hands or use an alcohol based hand rub. EI #3 was asked what was the harm in the staff not washing their hands between glove changes. EI #3 replied, it spreads infection and it was cross contamination.	2020-09-01