cms_MS: 3

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
3 JEFFERSON DAVIS COMMUNITY HOSPITAL ECF 255050 1320 WINFIELD STREET PRENTISS MS 39474 2017-07-26 441 E 0 1 UP3C11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, record review and facility policy review, the facility failed to provide care in a manner to prevent the possibility of cross contamination for one (1) of four (4) care observations; Resident #2. Findings include: A review of the facility's policy entitled Wound Care revised (MONTH) (YEAR) revealed: Do not directly touch any item that will come in contact with the wound. Discard soiled materials in plastic bag. Remove soiled material from room. A review of the facility's policy entitled Infection Control Guidelines for all Nursing Procedures, revised (MONTH) (YEAR), revealed: Standard Precautions apply to blood, body fluids, secretions, and excretions regardless of whether or not they contain visible blood, non-intact skin, and/or mucous membranes. Transmission-Based Precautions will be used whenever measures more stringent than Standard Precautions are needed to prevent the spread of infection. Resident #2 Observation on 7/24/17 at 10:35 AM, revealed when RN #3 attempted to place the gauze dressing and her soiled gloves into the wound trash bag, four (4) of the blood-stained gauze dressings and a soiled pair of gloves was noted to fall out of the trash bag onto the Resident's floor, leaving two (2) dime-sized blood stains and [MEDICATION NAME] on the floor. Observation on 7/24/17 at 11:15 AM, revealed RN #3 picked up a wedge cushion off Resident #3's floor and place it underneath Resident #3's right leg. After RN #3 cleaned Resident #2's right great toe, she then reached into the clean normal saline soaked gauze tray and squeezed the excess normal saline from the gauze back into the tray. RN #3 left the two (2) dime-sized blood stains and [MEDICATION NAME] on Resident #2's floor. Observation on 7/24/17 at 2:50 PM, revealed two (2) dime-sized blood stains and [MEDICATION NAME] remaining on Resident #2's floor. In an interview on 7/24/17 at 11:20 AM, RN #3 stated, I had already wiped the wedge cushion off. In an interview on 7/26/17 at 11:45 AM, the Director of Nursing (DON) stated there were germicidal wipes to get initial blood up and then housekeeping had blood spill kits. In an interview on 7/24/17 at 11:45 AM, RN #3 stated, I was not thinking, just not thinking, that's putting the germs back into it (referring to the clean normal saline gauze soaked tray), and that's contamination of the whole thing. A review of the Face Sheet revealed the facility admitted Resident #2 on 6/7/17, with a [DIAGNOSES REDACTED]. Review of the Admission Minimum Data Set (MDS) Assessment with an Assessment Reference Date (ARD) of 6/14/17, revealed Resident #2 had a Brief Interview of Mental Status (BIMS) score of 15, which indicated no cognitive impairment. 2020-09-01