cms_NE: 12429

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
12429 GOOD SHEPHERD LUTHERAN HOME 285148 2242 WRIGHT STREET BLAIR NE 68008 2010-06-10 371 F 0 1 P9FH11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Licensure Reference: 175 NAC 12-006.11E Based on observations, interviews, and record review, the facility failed to ensure sanitizing rinse in 3 compartment sink met manufacturer recommendation, food items were covered, range hood was maintained in a clean manner, clean gloves were used when handling food and outdated food was disposed of. This practice had the potential to affect 77 of 80 residents who ate meals at the facility. Findings are: A. Observations revealed the sanitizing rinse concentration level did not meet the manufacturer's recommendations of 200 ppm (parts per million) for a quaternary during the initial tour of the kitchen between 10:25-11 AM on 6/7/10 when checked by Dietary Manager. In an interview on 6/8/10 at 8:05 AM, Dietary Staff Member M, who was doing dishes in the 3 compartment sink, reported Dietary Staff Member M did not know how to test the concentration of the sanitizing rinse in the 3 compartment sink. Another staff member checked the rinse and demonstrated that the rinse met the manufacturer's recommendation concentration of 200 ppm. In an interview at 8:52 AM on 6/8/10, the Certified Dietary Manager reported staff did not routinely check the 3 compartment sink for sanitizer concentration. Follow up interview with Certified Dietary Manager at 2 PM on 6/8/10 revealed Ecolab representative had been to the facility on [DATE] to adjust the concentration of the sanitizing solution. Review of the 7/1/2007 version of the "Food Code" , based on the United States Food and Drug Administration Food Code and used as an authoritative reference for food service sanitation practices revealed the following: -A quaternary ammonium compound solutions hall nave a concentration as indicated by manufacturer's use directions. B. Observations between 10:25-11 AM on 6/7/10 revealed 3 trays of dished fruit and 2 trays of dished cake uncovered in the walk in refrigerator. Observations in the dining room on 6/8/10 at 8:05 AM and 6/9/10 7:45 AM revealed large uncovered pots of hot cereal. Review of the 7/1/2007 version of the "Food Code" based on the United States Food and Drug Administration Food Code and used as an authoritative reference for food service sanitation practices revealed the following: -Food shall be protected from contamination. C. Observations between 10:25 AM-11 AM on 6/7/10 and at 9:20 AM on 6/8/10 revealed the ventilation hood over the stove was soiled with a build up of dust. Observations at 9:35 AM on 6/10/10 revealed the hood had been cleaned but dust could still be seen. Review of the 7/1/2007 version of the "Food Code", based on the United States Food and Drug Administration Food Code and used as an authoritative reference for food service sanitation practices revealed the following: - " Intake and exhaust air ducts shall be cleaned and filters changed so they are not a source of contamination by dust, dirt, and other materials. " D. Observations on 6/8/10 between 5:40-6:10 PM revealed Cook L donned gloves to add bread to the tuna fish salad Cook L was pureeing. Cook L handled the bread package and obtained milk from the milk dispenser wearing the gloves then returned to handle the bread without changing gloves. In an interview on 6/10/10 at 9:35 AM, the Dietary Manger confirmed Cook L need to change gloves before handling the bread. Review of the 7/1/2007 version of the "Food Code", based on the United States Food and Drug Administration Food Code and used as an authoritative reference for food service sanitation practices revealed the following: - "If used, single-use gloves shall be used for only one task such as working with ready-to-eat food or with raw animal food, used for no other purpose, and discarded when damaged or soiled, or when interruptions occur in the operation." E. Observations between 10:25-11:10 AM and 3:45 PM on 6/7/10 revealed 2 cartons of liquid eggs with expiration date of 6/2/10 and 1 carton of liquid egg with expiration date of 4/7/10. After outdated liquid eggs were brought to the Dietary Manager's attention on 6/7/10, the items were destroyed. The Dietary Manager reported that the items were just received the previous week. In an interview on 6/10/10 at 9:35 AM, the Certified Dietary Manger reported it is every dietary staff members' responsibility to check for out dated food. 2014-07-01