cms_ME: 44
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
44 | BARRON CENTER | 205011 | 1145 BRIGHTON AVE | PORTLAND | ME | 4102 | 2018-12-07 | 880 | E | 0 | 1 | OYJ711 | Based on observations and interviews, the facility failed to maintain an infection control program designed to help prevent the development and transmission of infection related to pressure ulcer treatment for 1 of 3 sampled residents with pressure ulcers (Resident #36) and ensure that a urinary drainage bag and tubing was secured off the floor for 1 of 3 residents reviewed with an indwelling urinary catheter (Resident #26) during 1 of 4 survey days. Findings: 1. On 12/4/18 at 8:00 a.m., a surveyor observed with the charge nurse that Resident #26's Foley catheter bag was hanging underneath his/her wheelchair with the bag touching the floor and the urinary catheter tubing lying on and dragging on the floor with movement. The charge nurse acknowledged the finding and the infection control concern. In an interview with the surveyor and the nursing staff on 12/6/18, at 9:16 a.m., the finding was discussed with the nurse confirming that re-education of the nursing staff on positioning of Foley catheter bags and tubing was completed on 12/5/18. In an interview with the surveyor and the Director of Nursing Services (DNS) on 12/7/18, at 8:15 a. m., the finding was discussed. The surveyor confirmed the finding during the interview 2. On 12/6/18 at 10:39 a.m., 2 surveyors observed a Registered Nurse (RN) provide treatment to Resident #36's pressure ulcer. At the onset of the treatment, the RN washed his/her hands and donned clean gloves, then removed the soiled dressing, cleansed the wound with normal saline, opened up the sterile treated dressing package and removed the sterile treated dressing with the same gloved hands. The surveyor halted the procedure and directed the RN to change gloves. The RN proceeded with the treatment with clean gloves and a new sterile treated dressing. In an interview with the RN and RN Unit Manager directly following the procedure, the surveyor confirmed that the gloves were no longer clean once they were used to remove a soiled dressing and clean a wound. | 2020-09-01 |