cms_GA: 401

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
401 HARBORVIEW SATILLA 115265 1600 RIVERSIDE AVE WAYCROSS GA 31501 2018-02-15 812 F 1 1 LMHT11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview, observation, and review of policy titled Food Receiving and Storage Facility A failed to assure that food prep equipment was clean and properly stored, maintain the cleanliness of the icemaker and fans, discard expired items, and label and date items in two reach in refrigerators. Facility B failed to assure that items in the dry storage area and in resident pantries were labeled and dated and discarded by the use by date. This included three of three food pantries at facility B and kitchens at Facility A and Facility B. The census for Facility A and Facility B was 161 residents. Findings include: Facility B [DATE] at 11:11 a.m. Brief kitchen tour of Facility B conducted with Dietary Manager revealed the following: 1. There was a box of shredded cheese with an in date of [DATE] but there was not way to determine the expiration date of the cheese. 2. There were eggs in the refrigerator but there was no way to determine the expiration date of the eggs. 3. Two 46 fluid ounce (oz) thickened water containers with an open date of [DATE] and (1) one thickened juice container that was open but did not have an open date on it. The directions for the items stated once opened store at ambient temperatures for up to 8 hours or refrigerate for up to 7 days. 4. The storage containers for rice, flour, and meal did not have an open or use by date. 5. In the reach in freezer there were (5) five 32 ounce (oz.) packages of frozen baby carrots with no expiration date. 6. Three bags of diced carrots with an in date of ,[DATE] and (MONTH) 26, (YEAR) listed on the package. 7. Six packages of 12 count hamburger buns with an expiration date of [DATE]. Interview on [DATE] at 11:35 a.m. with the Dietary Manager revealed that there should be a label on each container containing the flour, sugar, and corn meal. She further explained that when the items are placed in the plastic storage container a label should be added to the container identifying the use by date that is listed on the original package. Dietary Manager revealed that all items should be labeled and dated. Futher interview revealed that the buns were delivered on [DATE] and bread is delivered every Tuesday by the Bakery. The Dietary Manager went on to reveal that she typically is the person that would receive the bread at delivery but she was not at the facility on [DATE]. Dietary Manager reported that she would not have accepted the bread on [DATE] since it had an expiration date of [DATE]. Tour of Triana Hall pantry at facility B on [DATE] at 9:08 a.m. with Director of Nursing (DON) revealed the following: 1. Eight 3.5 ounce (oz.) containers of Smart gel Cherry flavored gelatin with an expiration date of [DATE]. 2. Two containers (one with graham crackers and the other with saltine crackers) that did not have expiration dates. Interview with the DON on [DATE] at 9:13 a.m. who reported that nursing staff and dietary check the pantry refrigerators daily for expired items in the refrigerator. Interview with the Dietary Manager on [DATE] at 9:23 a.m. revealed that graham crackers and saltines can be stored up to 6 months. Willet Pantry Tour with DON on [DATE] at 9:30 a.m. revealed: 1. One 20 fl oz Powerade with an expiration date of [DATE]. 2. Five 3.5 oz Cherry Smart gels with an expiration date of [DATE]. 3. Seven 4 fl. oz. 100% Prune juice containers with and expiration date of [DATE] in the refrigerator and (6) six 4 fl oz. containers with an expiration date of [DATE] located on the shelf in the pantry. 4. Three 1.2 oz. boxes of Kellog's Mini-Wheats that did not have an expiration date. 5. One dented can of Campbell's ready to serve Chicken with rice soup. Pavillion Pantry Tour on [DATE] at 9:47 a.m. with DON revealed: 1. One (1) 4 oz. Yoplait Strawberry banana yogurt with a use by date of [DATE]. 2. Four (4) 1.2 oz. boxes of Mini - Wheats with a no expiration date. Interview on [DATE] at 1:25 p.m. with the Dietary Manager who reported that all staff are responsible for checking food in the refrigerator and on the shelves in the pantry to assure food is labeled and not expired. Review of policy titled Dietary revealed the following: Policy Interpretation and Implementation 6. Dry foods that are stored in bins will be removed from original packaging, labeled and dated (use by date). Such foods will be rotated using a first in - first out system. After opening dry foods, they will need to be discarded after 60 days. 7. All food stored in the refrigerator or freezer will be covered, labeled and dated use by date). 13. Food items and snacks kept on the nursing units must be maintained as indicated below: a. All food items to be kept below 41 degrees F must be placed in the refrigerator located at the nurses' station and labeled with a use by date. b. All foods belonging to residents must be labeled with the resident's name, the item and the use by date. Facility A failed to ensure that preparation equipment was clean and properly stored, properly label and date foods in refrigerators, discard expired foods, clean ice maker and maintain cleanliness of fans in kitchen. Facility A: Observation and Interview with Dietary Manager on [DATE] at 11:34 a.m. revealed one mixture stored on a preparation counter uncovered with splattered light colored substances on the blades and guards. The Dietary Manager identified the substances as cake mix. She stated that staff had used the mixture earlier this morning. Observation on [DATE] at 11:36 a.m. of reach in refrigerator #1 revealed the following: 1. One package of open cheese wrapped in wrap partially uncover with no open date or expiration date. 2. Three limes in a bag with no open or expiration date. 3. One small container of cooked gravy with no open date or expiration date. 4. Pureed bake beans in a plastic Tupperware container with no open date or expiration date. 5. Peanut butter and jelly in a plastic Tupperware container with no open date or expiration date. 6. Pimento cheese in a plastic tupperware container with no open date or expiration date. 7. Chicken salad in a plastic tupperware container with open date of [DATE]. 8. Pimento cheese in a plastic tupperware container with open date of [DATE] and expiration date [DATE]. 9. Five pound plastic container of sour cream dated [DATE]. Observation on [DATE] at 11:38 a.m. of Reach in Refrigerator #2 revealed the following: 1. An 8 x 10 pan of Jell-O not dated or labeled. An interview with Dietary Aide (DA) UU at the time of the observation revealed that the jell-o in the square 8 x 10 pan was made on, [DATE] 2. Eleven paper plates of Jell-O fruit square not cover and dated on a cooking sheet Observation on [DATE] at 11:44 a.m. of one ceiling fan facing a preparation counter revealed a greyish substance covering the blades of the fan. During the interview at the time of the observation, the DM identified the greyish substances as dust. She also stated that the fan was not operable and should had been removed from the kitchen area. Observation of one ice machine on [DATE] at 11:42 a.m. revealed a black slimy substances on the top panel of the ice machine. When the Dietary Manager wiped with a white paper towel. The Dietary Manager identified the substance as mildew and stated that she only been with the facility since (MONTH) of (YEAR). She could not recall exactly the date the ice machine was last cleaned. She stated that the maintenance supervisor and one of her staff who is no longer employed did clean the ice machine , a while back. She stated that she will have someone clean the ice machine.She stated that Maintenance is responsible for cleaning the ice machine along with her kitchen staff. She furthere revealed that she did not have a schedule of when the ice machine was last cleaned Interview with the Administrator on [DATE] at at 12:10 a.m. revealed that the facility has another ice machine that the facility staff could use. He stated that he will instruct the dietary staff to discard of all the beverages on the tray carts . He stated that he will have the maintenance staff to clean the ice machine. Interview with the Maintenance Supervisor with the Administrator on [DATE] at 12: 25 a.m revealed that the facility uses a cleaning system Filter Monitor which detects how often the ice machine should be cleaned. This monitor strip is place inside the ice machine and registers on a 6 -12 months timer. Maintenance Supervisor stated that he does not log each time the ice machine is cleaned and was not sure when the last time the ice machine was cleaned. Observation of large fan covered with grey substance attached to the wall in the kitchen located on the in the dishwasher. The fan was facing dishwasher and counter top of the clean dishes. Interview with the Dietary Manager [DATE] at 8:21am revealed the fan is operable . She stated that maintenance is responsible for cleaning the dishwasher.Further reported have no policy on cleaning schedule and for how fans should be cleaned. Review of the facility's policy title Nutrition Services Manua/Food Labeling Reference Guide revealed that staff should keep items in original delivery cardboard cases from vendor whenever possible, put delivery date on cardboard case, put delivery date on individual item(cans, bags, etc.) when removed from cardboard delivery cases. When food iteme is opened and not completely sued writie the open date on the food container. Write a use by date on the food container. Review of policy title Maintenance Policy revealed that ice machines should be thoroughly cleaned and descaled monthly. 2020-09-01