cms_ID: 42

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
42	BINGHAM MEMORIAL SKILLED NURSING & REHABILITATION	135007	98 POPLAR STREET	BLACKFOOT	ID	83221	2017-09-21	441	D	0	1	ZCF511	Based on observation, staff interview and policy review, it was determined the facility failed to ensure hand hygiene occurred for 1 of 10 residents (#5) observed for hand hygiene. The deficient practice created the potential for harm if the resident developed infection from unsanitary practices. Findings include: On 9/19/17 at 3:15 pm, during suprapubic catheter care for Resident #5, LPN #1 washed her hands, placed the supplies on the over bed table, and put on a pair of gloves. LPN #1 removed the soiled dressing that covered the ostomy (surgically created opening between an internal organ and the body surface), then removed her gloves and replaced them with a new pair of gloves. LPN #1 did not wash her hands or use hand sanitizer between glove changes. LPN #1 cleaned the ostomy with sterile normal saline solution and then applied a clean dressing. LPN #1 then repositioned Resident #5 and removed her gloves. Following the dressing change, LPN #1 walked to the sink and washed her hands. On 9/19/17 at 3:30 pm, LPN #1 stated she forgot to sanitize her hands between glove changes. The facility Policy and Procedure titled Handwashing, Hand Antisepsis and Surgical Hand Scrub, Reference #921, Version 9 with an effective date of 6/30/17 documented, Hand hygiene must be performed at a minimum upon arrival to the facility, before and after touching each patient, before clean/aseptic procedures, after body fluid exposure, putting on gloves (clean or sterile), and after removing gloves, after touching anything in the patient's environment, before and after eating, after using the restroom, and when hands are visible soiled. On 9/19/17 at 4:10 p.m. the Director of Nursing (DON) stated it was facility policy that hand hygiene must be performed anytime gloves were removed. The DON stated that LPN #1 not sanitizing her hands after removing soiled gloves and replacing them with clean gloves was not following facility infection control policy.	2020-09-01