cms_WY: 13

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
13	GRANITE REHABILITATION AND WELLNESS	535013	3128 BOXELDER DRIVE	CHEYENNE	WY	82001	2019-04-11	880	F	1	1	TYBQ11	> Based on observation, and staff interview, the facility failed to ensure effective infection control practices were followed during for 1 random observation. The findings were: Observation on 4/10/19 at 2:32 PM showed the wound nurse performed a dressing change on resident #103's pressure injury. The following concerns were identified: a. Observation showed after the nurse finished the removal of the old dressing and cleaned her hands to do the clean dressing. The nurse then pulled clean gloves out of her pocket and donned them. b. The wound nurse picked up a packet of skin prep off of the over-bed table and then reached into her pocket and retrieved a pair of scissors to cut the packet. She then put the scissors down on the table. c. The wound nurse dropped a skin prep towelette on floor; picked it up and threw it in the trash bag. She proceeded, with the same gloves, to pack the open wound with wet gauze. d. The wound nurse then picked up the scissors to cut the gauze and set them back down on the table. e. While holding the gauze in place with the same gloves, the nurse retrieved a flashlight from her pocket to look at the skin. The nurse put the flashlight back in her pocket and finished dressing the wound. Interview at that time with the nurse revealed it did not occur to her the pocket was not clean. f. Interview with the DON on 4/10/19 at 3:25 PM revealed it was the facility's expectation for wound care to be completed in a clean procedure.	2020-09-01