cms_NH: 91

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
91 ROCHESTER MANOR 305024 40 WHITEHALL ROAD ROCHESTER NH 3867 2017-04-13 441 D 0 1 K2IK11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and interview, it was determined that the facility failed to follow infection control practice while providing care to 1 out of sample resident with a peripherally inserted central catheter in a survey sample of 17 residents. (Resident identifier is out of sample #19.) Findings include: Record review on 4/13/17 of the Medication Administration Record (MAR) for Resident #19 revealed an order for [REDACTED]. Observation on 4/13/17 with Staff C (Registered Nurse) at approximately 10:15 a.m. showed Staff C prepared the physician ordered medication Azireonam 1 GM (gram) intravenously (IV) for Resident #19. Staff C prepared the IV solution and intravenous tubing to attach to the IV pump. The double lumen Peripherally Inserted Central Catheter (PICC) was located on Resident #19's left upper chest. Staff C donned gloves and proceeded to cleanse each of the individual dual lumen ports with a separate alcohol wipe. One port was cleansed with a alcohol wipe and discarded on Resident #19's over the bed table. The second port was cleansed with a alcohol wipe and this was discarded on Resident #19's over the bed table. This over the bed table had multiple books and personal items of Resident #19. Further observation revealed as Staff C was connecting the IV tubing to the IV pump Staff C encountered air in the IV tubing. Staff C proceeded to disconnect the tubing from the pump and prime the tubing more to eliminate the air in the tubing. Staff C proceeded to attach the IV tubing to the pump. Staff C with donned gloves still in place proceeded to cleanse one of the PICC ports with one of the discarded used alcohol wipes. After cleansing Staff C discarded this alcohol wipe on the resident's over the bed table and picked up the second discarded used alcohol wipe and proceeded to cleanse the other PICC port with this used alcohol wipe and again discarded this wipe on the resident's over the bed table. Interview on 4/13/17 with Staff C confirmed the above listed findings that aseptic technique was not maintained to prevent cross contamination by using the individual discarded alcohol wipes a second time to cleanse each individual PICC line port for Resident #19. 2020-09-01