cms_GA: 538

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
538 PRUITTHEALTH - MARIETTA 115276 70 SAINE DRIVE SW MARIETTA GA 30008 2019-07-24 814 E 1 1 I5PG11 > Based on observation and staff interviews, the facility failed to ensure the sanitary handling of used cooking oil/refuse, and failed to ensure that kitchen staff had adequate accessibility to the grease trap grounds area for disposal. The census was 108 residents. 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. The latest health inspection dated 7/12/19, was posted, documenting a score of 98%. Food prep areas, kitchen equipment and food storage areas were observed to be clean and in order. The initial tour continued to the loading dock area, dumpster area, and the grease trap area with Kitchen Aide BB. The back door was closed to the kitchen. During the observation of the walk-through area to the outside, used as a pass through to the kitchen back door, revealed seven (7) dead insects and a box-like mouse trap. At 12:00 p.m. while the tour continued outside, near the dumpster area, Kitchen Aide BB explained they dump the grease and oil in the grass behind the dumpster. The grease trap container was observed located behind a six (6) foot fence. The fence door was unlatched; however, the Kitchen Aide was unable to open the gate fully, less than 1.5 feet. A large number of weeds and Kudzu vines were surrounding the grease trap container and the surrounding area. The grease trap container was observed to be the size of a tall, large barrel-type trash receptacle with a lid. Several broken wheelchairs were noted under the Kudzu vine, along with other old equipment not fully visible under the vines. The weeds and vines prevented access to the grease trap container to observe it more closely. A second tour of the kitchen was conducted on 7/22/19 at 4:00 p.m. with the FSM, where she confirmed that the fryer oil is changed on Saturday. The cooking oil in the fryer appeared clean upon observation. Tour of the back door walk through area was observed to be free of dead insects. Tour of the outside grease trap area, revealed the fence gate to the grease trap area could be opened half-way, some of the weeds near the gate were observed to be stomped down. The FSM explained they are not using the grease trap, that the weeds are too high, they have saved the oil. Observation revealed two large uncovered metal pots containing dark colored cooking oil, was stored under the warming oven on the floor tile, located next to the gas stove. The FSM stated another place like on the back covered porch area, or in the walk thru area would be better place to store it. The back-porch area is open on one side, and is an area where the oxygen tanks are stored. A brief interview was conducted with the Administrator on 7/23/19 at 8:45 a.m. in his office, where he explained that the facility utilizes two community organizations that they donate equipment to. The organization will pick up discarded equipment quarterly that might be used for parts; that items that need to be fixed are kept in the maintenance shed. During an interview on 7/23/19 at 4:30 p.m. the Maintenance Director (MD) was asked who was responsible for the area around the grease trap. The MD explained that he was just told about it yesterday afternoon, that the facility's landscaping contractor will be called, they will have them cut them (the weeds) back. He stated the landscaping crew was due out this week. He confirmed he did not know how long the grease trap area has looked that way. He confirmed old wheelchairs were put out there by therapy for repurposing, an outside company was to pick up them for repurposing, stating that the equipment out there, are not fixable items. The MD also confirmed the weeds and Kudzu are thick, as tall as four (4) feet high in places, and confirmed that he had looked yesterday. He also confirmed they have a pest control contractor that comes out frequently, the last time was on 7/17/19, that they have a running contract with them. He again confirmed the responsibility for the weeds is the landscaping company. A request was made from the MD for a copy of the pest control policy and a policy for grease trap maintenance. The MD stated he did not have a policy to ask the FSM, that she may have one. An observation was conducted on 7/23/19 at 11:30 a.m. with the FSM present, for the lunch meal pureed food process, with Cook CC. During this time, the two metal pots of old cooking oil were no longer observed under the warming oven. The FSM confirmed the oil was put in the trap, with help last night. On 7/23/19 at 12:30 p.m. during observation of food temperature testing with the FSM, she confirmed there is no facility policy for the dumpsters and grease trap, or cooking oil disposal. An interview and tour of the grease trap area was conducted on 7/24/19 at 9:10 a.m. with the Rehab Director (RD). During the tour of the grease trap area behind the gate, she explained that the old rehab equipment is given to maintenance to take to the shed. She confirmed that no one in her department placed the broken wheelchairs and other items out there. She explained what the process for old and broken equipment to be removed is; that they fill out a maintenance request, in the shared maintenance log book located on each nursing unit. Then maintenance picks up the equipment, then fixes the equipment, if possible. The RD confirmed the staff in her department do not take away equipment, that she doesn't know what happens to unusable equipment, their department only gets back usable, fixed equipment. The RD then walked to the nurse's station to the maintenance book and pointed to a recent request dated 7/16/19 for a resident wheelchair that was broken and needed replaced. The Maintenance Request form had a date of 7/16/19 and a note documenting replaced brakes. 2020-09-01