cms_AL: 22

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.

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
22 HIGHLANDS HEALTH AND REHAB 15012 380 WOODS COVE ROAD SCOTTSBORO AL 35768 2018-05-03 812 F 0 1 VXOM11 Based on observations, interviews, and a review of a facility policy titled, Ice Handling of Ice Scoops and the (YEAR) Food Code U.S. (United States) Public Health Service FDA (Food and Drug Administration), the facility failed to ensure: (1) the ice scoop was not stored on top of the ice machine, on three of four days of the survey; (2) a dark brown colored dust like substance was not on the pipes above the deep fryer, on three of four days of the survey; (3) dust was not on the pipes above the conventional oven, on three of four days of the survey; and (4) the meat slicer did not have food debris on it, on three of fours days of the survey. These deficient practices had the potential to affect all 44 residents receiving meals from the dietary department. Findings Include: (1) A review of an undated facility policy titled, Ice Handling/Cleaning of Ice Scoops, documented: POLICY: . Ice scoops are to be maintained in sanitary conditions in an effort to prevent the spread of infection. PR[NAME]EDURE: . 5. The ice scoop(s) in dietary shall be sanitized each day and placed next to the ice machine in a covered container . On 05/01/18 at 10:21 a.m., the surveyor observed a dietary staff member removing ice from the ice machine. The staff member was using a large blue colored ice scoop. When finished with removing ice from the cooler, the staff member placed the ice scoop on top of the ice machine. The ice scoop was not stored in any type of covering. On 05/02/18 at 8:58 a.m., the surveyor observed the large ice scoop to remain on top of the ice machine, not stored in any type of covering. On 05/03/18 at 8:27 a.m., the large ice scoop was again observed by the surveyor to be laying uncovered on top of the ice machine. On 05/03/18 at 8:28 a.m., the surveyor conducted an interview with Employee Identifier (EI) #6, the Food Service Director. The surveyor asked EI #6 how should the ice scoops be stored. EI #6 said the ice scoop should be stored up out of the bin. The surveyor asked EI #6 should the ice scoop be stored on top of the ice machine. EI #6 said, no. EI #6 said the ice scoop should be stored in a container where it could drain. The surveyor asked EI #6 what was there a potential for when the ice scoop was stored on top of the ice machine, and not in any type of covering. EI #6 replied, contamination. (2) A review of the (YEAR) FOOD CODE U.S. Public Health Service FDA, documented the following: . 4-6 CLEANING OF EQUIPMENT AND UTENSILS . 4-601.11 . Nonfood-Contact Surfaces . (C) NONFOOD-CONTACT SURFACES . shall be kept free of an accumulation of dust . On 05/01/18 at 10:39 a.m., the surveyor observed hanging dust, with a dark brown colored looking substance within the dust, on the pipes above the deep fryer. On 05/02/18 at 9:00 a.m., the hanging dust with the dark brown colored looking substance within the dust remained on the pipes above the deep fryer. On 05/03/18 at 8:22 a.m., the surveyor again observed the hanging dust, with the dark brown colored looking substance within the dust, on the pipes above the deep fryer. On 05/03/18 at 8:23 a.m., the surveyor conducted an interview with EI #6. The surveyor asked EI #6 what did the substance look like on the pipes above the deep fryer. EI #6 said she did not know what the brownish colored substance looked like. The surveyor asked EI #6 how often were the pipes cleaned. EI #6 said she did not know, and maintenance cleaned the pipes. On 05/03/18 at 8:47 a.m., the surveyor conducted an interview with EI #7, the Maintenance man. The surveyor asked EI #7 what did the brownish colored looking particles on the pipes above the deep fryer look like to him. EI #7 replied, greasy dust particles. The surveyor asked EI #7 what was there a potential for if the greasy dust particles came loose. EI #7 said the greasy dust particles could fall into whatever was beneath it. (3) On 05/01/18 at 10:53 a.m., the surveyor observed dust like looking particles on the pipes near the conventional oven as well as near the rice, flour, sugar and meal bins. On 05/02/18 at 9:04 a.m., the dust looking particles remained on the pipes near the conventional oven as well as near the rice, flour, sugar and meal bins. On 05/03/18 at 8:30 a.m., the surveyor again observed the dust like looking particles on the pipes near the conventional oven as well as near the rice, flour, sugar and meal bins. Covered bread sticks and rolls were observed in pans beneath the area where the pipes were. At this time an interview was conducted with EI #6. The surveyor asked EI #6 what was on the pipes. EI #6 said she did not know. When asked how often the pipes were cleaned, EI #6 said maintenance did that. On 05/03/18 at 8:47 a.m., the surveyor conducted an interview with EI #7. The surveyor asked EI #7 what did he see on the pipes above the conventional oven. EI #7 replied, dust. The surveyor asked EI #7 what was there a potential for if the dust would come loose. EI #7 said it could fall into what ever was beneath the pipes. When asked if his department was responsible for keeping the pipes clean, EI #7 said his department had never been given that task. (4) A review of the (YEAR) FOOD CODE U.S. Public Health Service FDA, documented the following: . 4-6 CLEANING OF EQUIPMENT AND UTENSILS . 4-601.11 Equipment, Food-Contact Surfaces . (A) EQUIPMENT FOOD-CONTACT SURFACES . shall be clean to sight and touch . On 05/01/18 at 10:32 a.m., the surveyor observed the meat slicer to have dried food debris on the slicer. On 05/02/18 at 9:02 a.m., the dried food debris remained on the meat slicer. On 05/03/18 at 8:16 a.m., the surveyor again observed the meat slicer to have dried food debris on it. On 05/03/18 at 8:17 a.m., the surveyor conducted an interview with EI #6. The surveyor asked EI #6 what did she see on the meat slicer. EI #6 replied, it kind of looked like meat. The surveyor asked EI #6 how often should the meat slicer be cleaned. EI #6 replied, after each use. When asked when was the meat slicer last used, EI #6 said three days ago. The surveyor asked EI #6 what was there a potential for when food particles were left on the meat slicer. EI #6 said it was a potential for contamination. 2020-09-01