cms_GA: 4792

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
4792	WINDER HEALTH CARE & REHAB CTR	115536	263 E MAY STREET	WINDER	GA	30680	2015-06-18	371	E	0	1	ZT7P11	Based on observation and staff interview the facility failed to label and date six (6) food items in the refrigerators and dry storage area for two (2) of four (4) days of the survey; and failed to properly clean the stand-up mixer after usage to prevent cross contamination. There were one hundred and thirty-seven (137) residents that received meals from the kitchen. Findings include: Observation on 06/15/15 at 10:35 a.m. of the stand-up mixer revealed that it was covered with a clear plastic bag. Continued observation revealed that after uncovering the stand-up mixer there was a powdery white food substance under the mixing arm and on the shaft to connect the beater. Interview on 06/15/15 at 10:35 a.m. with the Dietary Manager (DM), he confirmed that there was a white powdery food substance on the stand up mixer. The DM revealed that when the clear plastic bag is placed over the top of the stand-up mixer, this indicates that the equipment is clean and ready for use. The DM acknowledged that the plastic bag should not have been placed over the mixer since it was dirty. Continued interview revealed that he expected that all kitchen equipment should be cleaned after usage. Observation on 06/15/15 at 10:40 a.m. revealed that the single door stand up refrigerator had items on the top shelf that were opened and not labeled or dated. These items included a fifteen (15) ounce Starbucks ice coffee which was open with no label or date, 2 hardboiled eggs in a white eight (8) ounce Styrofoam cup covered with saran wrap with no label or date and a twenty four (24) ounce Heinz ketchup bottle was opened with no date. Interview on 06/15/15 at 10:40 a.m. with the DM revealed that he expects all food items stored in the kitchen should have a label and date. The DM confirmed that the Starbucks ice coffee, hard boiled eggs, and the ketchup all did not have a label or date and that they should. Observation on 06/15/15 at 10:45 a.m. of the metal preparation counter in the kitchen revealed a 4 gallon clear plastic container that contained Raisin Bran cereal with no label or date. Interview on 06/15/15 at 10:45 a.m. with the DM revealed that he expects that when staff transfer opened food product to a different container there should be a label and date. The DM acknowledged that the Raisin Bran was not in its original container and was not labeled or dated. Observation on 06/15/15 at 10:55 a.m. of the dry storage area revealed an opened bag of tortilla chips that was wrapped in saran wrap but did not have a date of when opened. Interview on 06/15/15 at 10:55 a.m. with the DM revealed that he expects staff to date all food items after opened and before placing them in the dry storage area. He confirmed that the tortilla chips did not have a date. Observation on 06/17/15 at 9:30 a.m. of the walk in refrigerator revealed that there was an opened forty eight (48) ounce jar of Grey Poupon Dijon Mustard with no date. Continue observation revealed that there was also a sixty four (64) ounce container of Daisy cottage cheese that was opened and not dated. Interview on 06/17/15 at 9:30 a.m. with the DM, he acknowledged that both food products were opened and placed in the walk-in refrigerator with no dates. Review of the facilities policy for Protection of Food from Contamination revealed that all food items must be properly labeled and items in the refrigerators or freezer must be dated. Review of the facilities policy for Safe Storage of Leftover Foods revealed that labels should have the food item, date, and time be place on items before placed in refrigerator or freezer. Review of the dietary department Daily Responsibilities List revealed that each shift cook should clean the equipment used and that each cook helper should ensure all items are wrapped and dated each shift. Review of a dietary staff meeting note provided by the DM revealed that a staff meeting was conducted on 08/04/14. One of the meeting topics discussed was the daily cleaning responsibilities as well as to check leftover shelf and use or discard in six (6) days.	2019-06-01