cms_WY: 85

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
85	BONNIE BLUEJACKET MEMORIAL NURSING HOME	535019	388 SOUTH US HWY 20	BASIN	WY	82410	2019-03-27	880	E	0	1	GU4111	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview and policy and procedure review, the facility failed to implement infection control processes to prevent transmission of infection in 2 random observations and in 2 of 2 laundry rooms. The findings were: 1. Observation on 3/25/19 at 4:24 PM showed CNA #2 transferred resident #23 to the toilet using the sit-to-stand lift. The CNA donned gloves, removed the resident's briefs; removed her gloves and left the bathroom without performing hand hygiene. The CNA came back, donned gloves, and performed peri-care. The CNA touched the clean briefs and the sit-to-stand lift without changing gloves. The CNA removed her gloves, transferred the resident to the wheelchair, positioned the resident's legs with pillows, and then performed hand hygiene. 2. Observation on 3/26/19 at 12 PM of medication pass for multiple residents showed LPN #1 failed to perform hand hygiene between residents. The LPN also failed to perform hand hygiene after obtaining a blood glucose from a resident. 3. Interview with the DON on 3/27/19 at 2:30 PM revealed the expectation was for staff to perform hand hygiene prior to putting gloves on, after removing gloves, and after resident contact. 4. Observation on 3/27/19 at 12:20 PM of laundry room [ROOM NUMBER] showed a washer and dryer next to a double sink and a rack of clean clothes which hung over part of the sink. The following concerns were identified: a. Interview on 3/27/19 at 12:20 PM with the housekeeping manager revealed the resident's clothes were brought to the laundry room in a bag and soiled clothes were rinsed in the sink prior to going into the washing machine. She further stated the only personal protective equipment staff wore was gloves; she denied wearing a gown or eye protection. b. Observation on 3/27/19 at 12:20 PM of both laundry rooms failed to show a supply of gowns and eye protection. Interview at this time with the housekeeping manager revealed both laundry rooms were used to sort dirty clothes, wash the clothes and hang the clean clothes. c. Observation on 3/27/19 at 12:20 PM showed the soap dispenser to wash hands was hidden by the side of a cabinet behind the clean rack of clothes and the paper towel dispenser was behind the clean rack of clothes. Interview with the housekeeping manager stated staff had to move the clothes to obtain soap for hand hygiene. d. Interview with the Infection Preventionist on 3/27/19 at 2:10 PM revealed gowns, gloves, and eye protection should be readily available, and she was not aware staff wore only gloves to sort the laundry. 5. Review of the Facility Infection Control Policy, revised 4/5/17, showed .wash hands before and after contact with each patient. Wash hands before gloves are donned and after gloves are removed. Eye and mucus membrane protective devices must be worn if splashing is likely. Moisture resistant cover gowns or aprons must be worn when splashing or clothing contamination is likely .	2020-09-01