cms_GA: 405

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.

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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
405	HARBORVIEW SATILLA	115265	1600 RIVERSIDE AVE	WAYCROSS	GA	31501	2017-04-06	371	F	0	1	01P811	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and review of policy titled, Food Safety Standards and Requirements Facility A failed to assure that items were labeled and dated and items were used before the expiration date in two (2) reach in coolers in the kitchen and in two (2) of two (2) refrigerators in the resident food pantry. The facility also failed to assure that temperature logs were kept for freezer temperatures in two (2) of two (2) resident pantry. Facility B failed to label and date opened food items before storage in the walk-in freezer and failed to label and securely close one open food item in a walk-in dry good storage pantry to prevent cross contamination from environment debris. Facility A failed to label, date, and properly store food items in one refrigerator, discard of expired and label food item in nourishment refrigerator on East Hall and West Hall pantries, and to ensure all food items are stored at the appropriate temperature by placing a therometer in the freezer. This deficient practice had the potential to effect 2 two of 2 two pantry at the facility A and both kitchens. Total census of 162 with nine 9 tube feeders. A total census of 162. Findings forinclude: Facility A Observation during the initial tour on 4/3/17 at 9:35 a.m.of Facility A revealed the clear reach in cooler had one container of Silk Almond Milk (one quart) that did not have an open date with directions of stay fresh 7-10 days after opening. There was one (1) open container (no open date) of Nectar like consistency - Sweetened tea with lemon flavor (46 fluid ounces (fl. oz.)) with directions of refrigerate up to 7 days once opened. There was one half bag of Texas toast that did not have an expiration date or an open date on the bag. During kitchen tour on 4/5/17 at 12:19 p.m. of Facility A in the silver reach in cooler there was one container labeled to have black olives and had an opened date of 2/27/17 and a use by date of 3/6/17. There was also a five (5) pound (lb) container of small curd cottage cheese with a best by date of 4/2/17 (with a quarter (1/4) container remaining). Interview with Dietary Supervisor BB revealed that items in the refrigerator should be dated with an open date and use by date. It was further revealed that the expectation is that items will be used by the use by date or discarded. She further reported that she had discarded the items that were identified during initial kitchen tour that were not labeled with an opened date. Observation on 4/6/17 at 9:34 a.m. of Facility A in the East Wing resident pantry of facility A revealed there was no thermometer and one (1) bag of frozen fish not dated or no name in the freezer. In the refrigerator there were seven cans of Glucerna 1.2 cal (one (1) can with an expiration date (MONTH) (YEAR); two (2) cans with an expiration date of (MONTH) (YEAR); one (1) can with an expiration date of (MONTH) (YEAR); two (2) cans with an expiration date of (MONTH) (YEAR), and one (1) can with an expiration date of (MONTH) (YEAR)) that were eight (8) fl. oz. each. There were also three (3) cans [MEDICATION NAME] HN, eight (8) fl. oz. each, with and expiration date of (MONTH) (YEAR). There also was no evidence of freezer temperatures being logged. Interview with the Director of Nursing (DON) and Registered Nurse (RN) supervisor, at this same time, revealed that the shipment received from hospital on this Tuesday. It was further revealed that they had not been checking the dates on these items because they were coming directly from the hospital. The DON reported that she routinely checks the items in refrigerator. Observation on 4/6/17 at 10:02 a.m. of Facility A in the West wing resident pantry there was no evidence of freezer temperatures being logged. There was one (1) frozen 20 fl. oz. Sprite and one (1) frozen 16.9 fl. oz. container of Gold Peak unsweetened tea that were not labeled in the freezer. In the refrigerator there was one (1) to go plate that had a name but it was not dated, 1 (one) 20 oz. container of mustard with a best by date of (MONTH) 26, (YEAR), one (1) 16.9 fl. oz. container of Gold Peak unsweetened tea with an expiration date of (MONTH) 21, (YEAR), and three (3) tv dinners that were not labeled. Interview on 4/6/17 at 10:15 a.m. with the DON who reported that she is responsible for checking for labeling and dating of items as well as checking for expired items in the pantry on each wing. DON explained that a quick check is done daily of pantries and a thorough check is done every 10 days. She further explained that she observes the pantry to assure that no items are in the sink and no personal items in the pantry during a quick check. Thorough checks are completed every ten days and includes checking dates on supplements, assuring that the floors and sinks are clean. DON further reported that dietary staff are responsible for logging the temperatures daily. Interview on 4/6/17 at 11:00 a.m. with the RN Supervisor who reported that there are no residents currently receiving Glucerna. RN Supervisor further reported that there are separate guidelines for monitoring the temperatures of the refrigerators and freezers in the resident pantries. The guidelines for this was requested but was not received. Interview on 4/5/17 at 11:05 a.m. with the Administrator who reported that policy for monitoring the refrigerators and freezers in the pantries is the same as policy that is used in the kitchen. Review of policy titled Food Safety Standards and Requirements revealed that manufacturers expiration, use by or sell by dates, must be adhered to. Review of policy section E. HACCP/Food safety program and training training revealed temperature logs must be completed and kept on file for one year. This includes both refrigerator temperature log and freezer temperature log. Facility B Observation on 4/3/17 at 10:25 a.m. of the walk-in freezer for Facility B revealed the following food items with no open date and expiration date: a large opened package of chicken strips, an open package of french toast sticks, and a package of chicken breast. Observation on 4/3/17 at 10:40a.m. of the walk-in dry goods storage pantry area revealed an open 20/10 pound box shells of lasagna ridge placed on a bottom wire shelf with no open date. The box was open and not securely closed to prevent contamination from environment debris. Interview on 4/3/17 at 10:45 a.m. with the Dietary Manager DM for Facility BB revealed that her expectations are that the dietary staff label food properly once it is open and used. Further interview with the DM revealed that the dietary staff are responsible for labeling storage, and properly securing open food items on each shift to prevent cross contamination. Interview on 4/3/17 at 11:00 a.m. with the Director of Nursing for Facility B revealed that her expectations are that the dietary staff label food and date all food according to the facility policy. Review of the policy titled, Sanitation and Infection Control -Food Storage (Labels/Dates)-SS-1016, revealed, in pertinent part that All cooked foods, pre-packaged open containers, protient-based salads and deserts are labeled, dated, and securely covered.	2020-09-01