cms_NE: 12450
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
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inspection_date
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deficiency_tag
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complaint
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| 12450 |
LEGACY GARDEN REHABILITATION & LIVING CENTER |
285186 |
200 VALLEY VIEW DRIVE |
PENDER |
NE |
68047 |
2010-09-02 |
371 |
F |
0 |
1 |
021Z11 |
LICENSURE REFERENCE NUMBER: 12-006.11E LICENSURE REFERENCE NUMBER: 12-007.04A3 Based on observation, interview and record review; the facility utilized un-cleanable drinking straws to provide fluids, failed to ensure that plumbing had been installed to prevent backflow cross-contamination between the vegetable sink, garbage disposal and sewer drain in the kitchen area of the facility and failed to ensure an air gap was present on 1 of 1 ice machines in the facility. These practices created the potential for cross contamination for 24 residents that resided in the facility. The facility census at the time of survey was 24. Findings are: A Record review of the Nebraska Food Code 4-202.11(A) (1, 3) revealed the following: "Multi-use food-contact surfaces shall be: (1) smooth (2) free of breaks,open seams, cracks, chips, inclusions, pits, and similar imperfections (3) free of sharp internal angles,corners and crevices." Observation on 8/31/10 between 1:45 PM and 2:00 PM with the Director of Nursing between during the initial tour of the facility revealed water pitchers with a heavy duty plastic flexible straw inserted into each pitcher. These pitchers sat on the bedside tables in each of the 24 occupied resident rooms in the facility. Observation during the initial tour revealed that no names were written on the outside of the pitchers that would identify them as belonging to an individual resident. Interview on 8/31/10 at 1:20 PM with the Dietary Manager revealed that the water pitchers were cleaned daily in the dishwasher, then redistributed to the residents and that the pitchers were not assigned to specific individual residents. B. Record review of the Nebraska Food Code 5-402.11 (A) revealed the following: "a direct connection may not exist between the sewage system and a drain originating from equipment in which food, portable equipment or utensils are placed." Record review of the Nebraska Food Code 5-203.14 (A,B) revealed the following: " A plumbing system shall be installed to preclude backflow of a solid, liquid or gas contaminant into the water supply system at each point of use at the food establishment. Backflow prevention device is required by law, by: (A) Providing an air gap as specified under 5-202.13; or (B) Installing and approved backflow prevention device as specified under 5-202.14. Observation on 9/1/10 at 8:05 AM with the Facility Director of Maintenance (DM) revealed a direct plumbing connection between the vegetable sink, garbage disposal and the sewer drain located in the kitchen area of the facility. No air gap was present between the vegetable sink drain, the garbage disposal and the sewer drain and no backflow prevention device was present to ensure that contaminating material from the sewer drain did not backflow into the vegetable sink. Interview on 8/31/10 AM at 1:00 PM with Facility Cook C confirmed that the vegetable sink was routinely used to clean and rinse vegetables. Interview on 9/1/10 at 8:05 AM with the DM confirmed that no air gap was present, no backflow prevention device had been installed and that the drain pipe from the vegetable sink connected directly to the garbage disposal and descended directly into the sewer drain. C. Observation on 9/1/10 at 8:10 AM with the DM revealed that the drainage tube from the facility ice machine extended from the back of the ice machine directly into the floor drain pipe. No air gap was present between the drain tubes and the floor drain. Interview on 9/1/10 at 8:10 AM with the DM confirmed that no air gap was present on the ice machine, no backflow prevention device had been installed and that the drain pipe from the ice machine descended directly into the sewer drain. |
2014-07-01 |