cms_GA: 2224

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
2224 TWIN VIEW HEALTH AND REHAB 115540 211 MATHIS AVENUE TWIN CITY GA 30471 2017-09-21 371 F 1 1 2UDM11 > Based on observation, interview, and review of facility policies and procedures the facility failed to label/date, store foods under proper temperatures to prevent food borne illness, and securely wrap opened food items in one (1) walk in cooler and (1) reach in freezer of two (2) reach in freezers. The facility also failed to ensure the proper cleaning of dinnerware and eating utensils were properly sanitized during the wash and rinse cycle by the Low Temperature Dishwasher. This has the potential to affect all residents in the facility on oral alimentation, the resident census was 105. Findings include: Initial kitchen tour completed on 9/18/17 at 11:20 a.m. with the Dietary Manager (DM) revealed the overhead oven ventilation hoods have dust and splatter that could drop down into pots of food while cooking. The last service date for hood cleaning was (MONTH) (YEAR) the next service date is (MONTH) (YEAR). Interview with the DM at this time confirms the dust and splatter on the overhead oven ventilation hoods, and that staff do not clean or wipe down the overhead oven ventilation hoods in between main hood service. Observation on 9/18/17 at 11:20 a.m. of the walk in cooler revealed a temperature of sixty (60) degrees F. (1) 3/4 bag of chopped celery open not labeled or dated turning brown. (1) Small pan of leftover cooked home potatoes from 9/14/17 with use by date of 9/17/17. (1) 3/4 package of yellow sliced cheese not labeled or dated, slightly warm to touch. (1) opened package of Swiss cheese not labeled or dated, slightly warm to touch. (1) Package of sliced smoked turkey opened, hanging out of bag not labeled, dated, or covered. (2) 4 oz. cups of kozy shack chocolate pudding with use by date 9/13/17. Observation of the reach in freezer #3 with frozen meats revealed: (2) bags of chicken wings 1/2 full with no open date or use by date, and (2) Large bags of chicken breast removed from its original packaging not labeled with an open or use by date. Interview with the (DM) at 11:21 a.m. on 9/18/17 revealed the walk in cooler temperature was high this morning when she came in at 8:00 a.m., she is not aware of how long the cooling fans have not been working. Although, she notified the Maintinence Director she did not remove any of the food items from the walk in cooler to ensure proper food temps were maintained. Interview revealed the DM expects the dietary staff to label and date all foods removed from its original packaging. Review of the policy titled Food Receiving and Storage revised (MONTH) (YEAR) revealed foods must be stored at or below forty (40) degrees F unless otherwise specified by law. Observation of use of the Low temperature dishwashing cycle while lunch dishes were being washed was completed by Dietary Aide (DA) BB on 9/19/17 at 2:20 p.m. revealed the temperature gauge for the wash and rinse cycles remained at 100 degrees. The DA BB confirmed the temperature reading of 100 degrees during both the wash and rinse cycles. The quaternary sanitation solution was checked at this time, and revealed the parts per million (ppm) to be 10. The DA confirmed the reading of 10 ppm for the low temp dishwasher. Interview with DA BB on 9/19/17 at 2:20 p.m. revealed the temperature gauge remained at 100 degrees during both the wash and rinse cycles the temperature gauge did not move at any time to indicate the proper temperatures were used to ensure proper sanitation temperatures. Review of the Temperature and Sanitizer Log for (MONTH) (YEAR) revealed the wash cycle temp has been documented between 120 and 140, and the rinse cycle temp at 200 degrees. Review of the facility's policy titled Sanitation indicates the Low temperature Dishwasher (Chemical Sanitation) Wash temperature as (120 degrees F), and the final rinse with fifty (50) parts per million (ppm) hypochlorite (chlorine). The observations were confirmed at the time of the observations by the DM and the DA BB. 2020-09-01