cms_NH: 83

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
83 EDGEWOOD CENTRE (THE) 305022 928 SOUTH STREET PORTSMOUTH NH 3801 2017-02-10 441 E 0 1 FQ0H11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations and interview it was determined that the facility failed to ensure an environment that is safe and sanitary by not implementing a facility wide surveillance of infection control practices and investigations throughout the facility that provides a safe, sanitary and comfortable environment. (Resident identifier is #11.) Findings include: Observation on 2/8/17 during a medication pass with Staff B (Licensed Practical Nurse) at approximately 9:20 a.m. showed Staff B entered Resident #11's room with prepared medications. Staff B donned a pair of gloves and proceeded to perform trach suctioning on this ventilated resident. When this procedure was completed Staff B proceeded to assemble items to administer medications through Resident #11's [DEVICE] (gastrostomy). Staff B with the unchanged gloves proceeded to open the top drawer in the resident's storage bureau and retrieved a plastic 30 cc syringe. Staff B was observed numerous times touching her (Staff B) face and her (Staff B) clothing with the gloved hands related to the heat in the room. Staff B was observed flushing and administering the prescribed medications through Resident #11's [DEVICE] and when finished proceeded to assemble and prepare the pump and tubing for the continuous [DEVICE] enteral feed solution. Following this procedure Staff B with the same unchanged gloves proceeded to administer prescribed eye drops to Resident #11's left eye. Staff B then discarded the appropriate used items in the trash along with the pair of gloves worn throughout this observation. Staff B failed to change gloves and perform hand hygiene following each direct resident contact to prevent cross contamination between the trach suctioning, administration of medications through the [DEVICE], the preparation and assembling of the [DEVICE] enteral feed solution, after touching her (Staff B) own face and clothing and after the administration of eye drops to Resident #11. During interview on 2/10/17 with Staff C (Infection Control Registered Nurse) at approximately 1:00 p.m. Staff C stated that no infection control surveillance, like walking rounds are done in the facility kitchen, laundry, rehabilitation area. Staff C also stated that there is no documentation of infection control surveillance related to medication pass observation techniques. Cross reference F371. During tour of the rehabilitation department on 2/7/17 at approximately 10:15 a.m. this surveyor observed a wedge cushion that had numerous cracks in the outside plastic covering exposing the foam of the cushion. The entire end of the wedge presented with orange duct tape. The seat cushion on a rolling stool had numerous cracks in the outside plastic covering exposing the foam of the cushion. These cushions cannot be cleaned due to the poor surface integrity. During interview with Staff D (Rehabilitation Director) on 2/7/17 at approximately 10:35 a.m. Staff D confirmed the above findings. 2020-09-01