cms_ME: 2

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
2	CEDARS NURSING CARE CENTER	205003	630 OCEAN AVENUE	PORTLAND	ME	4112	2018-02-08	880	D	0	1	9O8T11	Based on observation and interviews, the facility failed to disinfect multi-use blood glucose meters in accordance with CDC (Center for Disease Control) recommendations: the meter should cleaned/disinfected per manufacturer's instructions on 1 of 3 units. Finding: During an interview with the surveyor on 2/17/18 at 10:00 a.m., a Registered Nurse (RN) on the Black[NAME]Unit demonstrated disinfecting the multi-resident use blood glucose meter with an alcohol wipe. On 2/7/18 at 10:10 a.m., the RN/Nurse Manager confirmed that alcohol wipes were used for the multi-use glucose meter, stating this was following the manufacturer's instructions. Review of the CDC recommendations regarding multi-use blood glucose meters indicates if blood glucose meters must be shared, the device should be cleaned and disinfected after each use, per manufacturer's instructions, to prevent carry-over of blood and infectious agents. If the manufacture does not specify how the device should be cleaned and disinfected then it should not be shared. Review of the Manufacturer's instructions regarding multi-use blood glucose meters gives two options for disinfecting. Disinfection can be completed by using a commercially available EPA- registered disinfectant or germicide wipe. or To disinfect the meter, dilute 1 ml of household bleach (5%-6% sodium hypochlorite solution) in 9 ml of water to achieve a 1:10 dilution (final concentration of 0.5%-0.6% sodium hypochlorite). Then use the dampened paper towel to thoroughly wipe down the meter. Note there are commercially available 1;10 bleach wipes from a variety of manufactures. On 2/8/18 at 12:45 p.m., in an interview, the surveyor confirmed the finding with the Director of Nursing and Nurse Manager/Infection Control Nurse.	2020-09-01