cms_MS: 24

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
24 WINSTON COUNTY NURSING HOME 255072 17560 EAST MAIN STREET LOUISVILLE MS 39339 2016-02-24 441 D 0 1 MMRK11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, and facility policy review, the facility failed to prevent the possible spread of infection, as evidenced by, Certified Nursing Assistant failed to change gloves and wash hands properly while providing incontinent care for one (1) of four (4) Residents receiving incontinent care; Resident #2. Facility policy titled Hand Washing, with revision date of 8/19/14, revealed the purpose was to remove germs and prevent the spread of infection. The procedure included to vigorously scrub for 10 seconds (longer if soiled) all areas of the hands and hands would be washed before and after providing care to the residents. Facility policy titled Incontinent/Perineal Care, with revision date of 3/2/15, instructed CNA after cleaning the resident to discard soiled gloves and apply a clean pair of gloves and the next step was to apply clean brief and assist resident with clothing. While observing incontinent care of Resident #2 on 2/23/16 at 2:15 PM, Certified Nursing Assistant (CNA) #2 did not change her gloves for the entire care observation. She continued to place a clean brief on the resident, reposition, arrange bed linens, and raise bed rails with soiled gloves. At 2:15 PM on 2/23/16, an interview with CNA #2 revealed she failed to change her gloves properly after cleaning the resident. CNA #2 stated she wore contaminated gloves when she should have washed her hands and put clean gloves on. At 2:20 PM on 2/23/16, an interview with the Director of Nursing (DON) revealed, Certified Nursing Assistants (CNAs) are inserviced on incontinent care. The DON stated the CNAs have been inserviced on changing gloves when they finish cleaning the resident and definitely before putting the clean diaper on and repositioning the resident. At 2:30 PM on 2/23/16 an interview with the Staff Development Nurse revealed, they have incontinent care inservice every six (6) months, the CNAs have access to the policies, and we cover incontinent care with the CNAs step by step. On 11/9/15 an inservice was provided by the Staff Development Nurse titled Peri Care, and documentation showed CNA #2 attended. The face sheet revealed the facility admitted Resident #2 on 6/29/11, and readmitted on [DATE], with [DIAGNOSES REDACTED]. Review of the Significant Change Minimum Data Set (MDS), with an Assessment Data Set (ARD) of 1/14/16, revealed Resident #2 had a Brief Interview of Mental Status (BIMS) score of nine (9) which indicated moderately impaired cognition. 2020-09-01