cms_NE: 12703

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
12703 GOOD SAMARITAN SOCIETY - ARAPAHOE 285175 P O BOX 448, 601 MAIN STREET ARAPAHOE NE 68922 2010-09-01 371 E     3PJX11 STATE LICENSURE REFERENCE NUMBER 175 NAC 12-006.11E Based on observations and staff interview the facility staff failed to remove jewelry while working in the kitchen. The mixer contained a white substance toward the back of the mixer that had not been cleaned. The sink contained an area toward the back of the sink that was green in color and a non cleanable surface. Mayo and relish was stored in the walk in fridge that had no open date that labeled the opening of the containers and no expirations dates on the containers. The sample size was 10. The facility census was 30. Findings are: A. Observation of the staff on 8/30/2010 at 9:10 AM found Cook-C served the breakfast then stated to prepare the noon meal with rings on the left hand with a stone. Observation of Dietary Aide D on 8/31/2010 at 4:30 PM preparing for the evening meal with a ring on the left hand with a rough surface. Interview with the Dietary Manager on 8/31/2010 at 10:45 AM confirmed the jewelry on the staff fingers and stated they were not to wear rings in the kitchen. Review of the 7/1/07 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: - statute 2-303.11 Except for a plain ring such as a wedding band, while preparing food, food employees may not wear jewelry including medical information jewelry on their arms and hands. B. Observation of the kitchen found a white debris on the underside of the mixer on 8/30/2010 at 9:10 AM and 8/31/2010 at 10:20 AM. Interview with the Dietary Manager on 8/31/2010 at 10:45 AM confirmed the white debris on the underside of the mixer. Review of the 7/1/07 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: -statue 4-002.11 Equipment food-contact surfaces and utensils shall be cleaned an any time during the operations when contamination may have occurred. C. Observation of the kitchen sink on 8/30/2010 at 9:10 AM and 8/31/2010 at 10:45 AM found a green debris on the back of the sink between the caulking and the wall. This was a non cleanable surface. D. Observation of the walk in fridge on 8/30/2010 at 9:10 AM found a container label Mayo and another container labeled relish with no marking to indicated date the container was opened. The container had no expiration date marked on the container. Interview with the Dietary Manager on 8/31/2010 at 10:45 AM confirmed there was no marking on the container to indicate date opened. Review of the 7/1/07 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: -Labeling, dating, and monitoring refrigerated food, including, but not limited to leftovers, so it is used by its use-by date, or frozen (where applicable) or discarded. 2014-04-01