cms_GA: 537

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
537 PRUITTHEALTH - MARIETTA 115276 70 SAINE DRIVE SW MARIETTA GA 30008 2019-07-24 812 E 1 1 I5PG11 > Based on observation, staff interview, and review of facility provided data, the facility failed to ensure kitchen staff were wearing hair protectors in the food preparation area. In addition, the facility failed to ensure the dish machine room was safe and sanitary; specifically, free from broken floor tiles and free from dirty water containing food debris accumulating on the floor. This practice had the potential to affect 103 residents receiving an oral diet. The census was 108 residents. The findings include: An initial tour of the kitchen was conducted on 7/21/19 at 11:20 a.m. with Cook CC, Kitchen Aide BB, and Kitchen Aide AA, the Food Service Manager (FSM) was unavailable. The kitchen staff was observed in the process of cooking and preparing for the lunch meal. A small amount of food debris was observed on kitchen floor tiles, walls were clean. The dish machine wash and rinse cycle was tested twice by a Kitchen Aide with two (2) small batches of dirty dishes. The wash and rinse cycle were within required range for a low temperature machine. The floor drain in the dish machine room was not draining water. Floor tiles around the drain area in the middle of the floor, appeared loose, and broken. A large amount of cloudy pooled water containing food debris was noted in the middle of the room, approximately five (5) inches deep at the drain site. Water was also observed pooled over two black rubber safety mats. A brief interview was conducted with Kitchen Aide AA on 7/21/19 at 11:50 a.m. during the tour in the dish machine room, where she confirmed the floor drain has not been draining right for some time that maintenance was aware of it. A second tour of the kitchen was conducted on 7/22/19 at 4:00 p.m. with the FSM, where she confirmed there were broken tiles and water pooling around the drain area in the dish machine room, she confirmed maintenance was aware of the drainage problem. During the continued tour, Cook MM was observed working in the kitchen, on the dinner meal preparation, without a beard net. The staff's beard, mustache and goatee facial hair were uncovered. An interview was conducted with the Maintenance Director (MD) on 7/23/19 at 16:40 p.m. where he stated that a local plumbing company came out on Thursday. He explained the first he knew about the drain problem was on Wednesday. The plumber snaked the drain on Thursday, but it didn't work. He confirmed loose and broken tiles but did not know how long the problem was there. He stated that on Friday they were supposed to have the jetting of the drain conducted by the plumbing company, but he could not come, he called to say he was sending a subcontractor, but confirmed it wasn't done. The MD confirmed they would wet vac the area. Observation of the drain area with the MD reveals a larger pooled area from what was observed on 7/21/19, the water appearing cloudy, with food debris. Two safety mats located along the side of the dish machine were covered with water. A request was made from the MD for a copy of the work orders and/or invoices for plumbing repairs. During a brief observation in the kitchen on 7/23/19 at 12:48 p.m. Cook MM was observed in the lunch meal tray line dishing up food items with a hair protector/net on, a beard guard on that covered his lower beard, however, facial hair in the goatee and mustache areas were not covered. A brief interview was conducted on 7/23/19 at 4:00 p.m. with Nurse Consultant LL during the request for the facility policy regarding kitchen staff attire, to include hair requirements. The Nurse Consultant confirmed the kitchen staff know that hair and beard nets are an expectation, that all hair needs to be covered. A review was conducted of the provided facility policy titled, Dietary Partner Hygiene and Dress Code, revised date, 6/2016. Policy Statement: it is the policy for partners working in the Dietary Department to dress in a manner appropriate for preparing, handling and serving food that prevents contamination and spread of bacteria. Scope: This applies to all dietary partners, and any person(s) who handles and serves food employed by the facility. Hygiene: No. 2 documented- hair is covered with hair net and/or cap. Facial hair is completely covered with a hair net or beard guard. A review was conducted of two (2) facility provided plumbing invoices. The invoice date of 4/2/19, note documentation reflects- jet service related to the kitchen sink floor was backing up. The line was jetted and it was discovered to have a separation down the line. The line needs to be dug up and repaired. The invoice date of 7/18/19, documentation note reflects- jet service for the kitchen line floor drain by the dishwasher was snaked first and cleared up of a cup and knife. It was still backing up when it had to be jetted and cleared, 30-day warranty. 2020-09-01