cms_ND: 63

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

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rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
63	MINOT HEALTH AND REHAB, LLC	355031	600 S MAIN ST	MINOT	ND	58701	2019-06-11	880	E	1	0	HFFF11	> THIS IS A REPEAT DEFICIENCY FROM SURVEYS COMPLETED ON 08/16/18. Based on observation, review of facility policy, and staff interview, the facility failed to follow infection control practices for 6 of 16 sampled residents (Resident #1, #3, #4, #13, #14, and #16) observed during personal cares. Failure to follow infection control practices of hand hygiene during toileting/personal cares has the potential to spread infection to other residents, personnel, and visitors. Findings include: Review of the facility policy titled Handwashing/Hand Hygiene occurred on 06/10/19. This undated policy stated, . Before and after direct resident contact (for which hand hygiene is indicated by acceptable professional practice) . Before and after assisting a resident with toileting (hand washing with soap and water) . The use of gloves does not replace handwashing/hand hygiene . Review of the facility policy titled Infection Prevention and Control Manual Standard Precautions occurred on 06/10/19. This undated policy stated, . Sterile gloves and examinations gloves are removed . As soon as practical when contaminated . Between resident contacts . Before touching uncontaminated surfaces or other areas of the same resident's body that may be contaminated . Observations showed the following: * 06/04/19 at 10:59 a.m., two certified nursing assistants (CNAs) (#9 and #10) applied gloves and provided incontinent cares for Resident #14 after a bowel movement (BM). The CNA (#10) changed gloves and, without performing hand hygiene, placed a clean brief, removed his/her gloves, and then both CNAs positioned the resident into his/her wheelchair. The CNA (#10) failed to remove gloves and perform hand hygiene after incontinent cares. * 06/04/19 at 3:42 p.m., two CNAs (#7 and #8) applied gloves and provided incontinent cares for Resident #16 after a BM. The CNA (#8) failed to remove gloves or perform hand hygiene before placing a clean brief, and then both CNAs positioned the resident into his/her wheelchair. * 06/05/19 at 9:55 a.m., two CNAs (#3 and #4) gloved and assisted Resident #3 from wheelchair to bed. One of the CNAs (#3) removed her gloves, failed to perform hand hygiene and exited the room. While wearing gloves, CNA (#4) checked the resident's brief and stated, it's not wet. The CNA (#4) removed her gloves, lowered the bed, adjusted the bedspread and attached the call light to the bed. Without performing hand hygiene the CNA (#4) assisted Resident #1 in the same room. The CNA raised Resident #1's bed, closed the window blinds and donned gloves. The CNA (#4) performed perineal care after a bowel movement (bm) for Resident #1. Without performing hand hygiene or changing gloves, the CNA picked up a spray bottle (Peri fresh) and sprayed the Resident's perineal area. The CNA removed her soiled gloves, and applied clean gloves. The CNA (#4) failed to complete hand hygiene between glove changes, prior to other tasks, and after perineal cares. * 06/05/19 at 11:50 a.m., two CNAs (#3 and #4) assisted Resident #4 from bed to wheelchair. The Resident #4's feeding tube became lodged and disconnected underneath him. Contents of the feeding tube (gastric secretions) leaked onto the floor and onto CNA's (#3) ungloved hands. The CNA (#3) failed to don gloves prior to performing cares. * 06/05/19 at 3:20 p.m., two CNAs (#7 and #11) applied gloves and provided incontinent cares for Resident #16 after a BM. The CNA (#7) failed to remove gloves or perform hand hygiene before placing a clean brief, and then both CNAs positioned the resident into his/her wheelchair. * 06/05/19 at 3:33 p.m., two CNAs (#7 and #11) applied gloves and provided incontinent cares for Resident #13. Without removing his/her gloves CNA (#7) removed the resident's oxygen, positioned the resident into his/her wheelchair and replaced the resident's oxygen. The CNA (#7) failed to remove gloves and perform hand hygiene after incontinent cares. During an interview on 06/06/19 at 9:05 a.m., an administrative nurse (#5) stated he/she expected staff to perform hand hygiene/change gloves before, after, and in between cares.	2020-09-01