cms_PR: 76

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

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
76	CENTRO MEDICO WILMA N VAZQUEZ SNF	405025	ROAD 2 KM 39 5 BO ALGARROBO	VEGA BAJA	PR	693	2017-05-25	281	D	0	1	V2HC11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a recertification FOSS survey, observations, medication pass, staff interviews and review of the facility policies and procedures (P & Ps), it was determined that the facility failed to ensure that the registered nurse (RN) performs hand hygiene accordance with infection control standard of practice after administering medications by mouth and failed to ensure to maintain appropriated infection control standard of practice during drug administration which can affect 1 out of 18 admitted residents at the facility. (R#7). Findings include: 1. On 5/23/17 at 8:25 am through 9:30 am during the drug pass the following was observed: a. The RN #13 was observed preparing and administrated medication by mouth to the resident on room [ROOM NUMBER] A during the process at 9:00 am it was observed open a individualized package of a pill, the RN cannot open the package, then uses the tap of the pen to punch the package cover and opened and put the pill in the small cup of medication. The RN proceed to administrated the medication to the resident and her hair cover her face and with the same glove that has to administered the medication turn her hair back and continue administration the medication. During the process a pill falls on the resident's bed, the RN picks up the pill, the resident asks to place it in the mouth, so the RN does it with the same gloves that touched her hair. When finish administrating the resident medication, removes her glove and proceed to wash her hand less than seven (7) second, not accordance to standard of practice of infection control and Centers for Disease Control and Prevention (CDC) Hand Hygiene Guideline in Health Care Setting, (MONTH) 25, 2002. Vol 51. Interview performed to the infection Control officer (employee #3) on 5/24/17 at 10:00 am stated that orientation related to hand washing was provided to the SNF personnel on (MONTH) 30, (YEAR) at 2:00 pm where the RN #13 attended and Competency was evaluated on 1/31/17.	2020-09-01