cms_NE: 30

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

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
30 DOUGLAS COUNTY HEALTH CENTER 285019 4102 WOOLWORTH AVENUE OMAHA NE 68105 2017-11-14 371 F 0 1 VVNM11 Licensure Reference Number 175 NAC 2-006.11E Based on observation, record review and interview; the facility dietary staff failed to utilize hair restraints in the facility kitchen. This had the potential to affect 219 residents that ate food prepared in the facility kitchen, and failed to maintain serving temperature of cool food used for medication administration for Resident 235. The facility census was 226. Findings are: [NAME] Record review of the Nebraska Food Code dated (MONTH) (YEAR) section 2-402.11 revealed: Food employees shall wear hair restraints such as hats, hair coverings or nets, beard restraints and clothing that covers body hair, that are designed and worn to effectively keep their hair from contacting exposed food, clean equipment, utensils and linens and unwrapped single service or single use articles. Observation on 11/13/2017 between 10:10 AM and 10:30 AM revealed Cook A had a mustache without a hair restraint in place over the mustache during the preparation of meat for roast. Dietary Aide (DA) B was present in the kitchen and had a beard and mustache with no hair restraint in place over the beard or mustache. DA C was present in the kitchen and had a mustache with no hair restraint in place over the mustache. Interview on 11/13/2017 4:16:31 PM with the Dietary Supervisor confirmed that Cook A and DA ' s B and C should have worn beard and mustache hair restraints while in the kitchen. Record review of a facility policy on Employee Appearance dated 1/26/17 revealed that sideburns, mustaches and beards are to be trimmed. All beards must be covered with an approved mask. Record review of a list of residents that take nothing by mouth dated 11/14/17 revealed that there were a total of 7 residents in the facility that did not eat any food prepared in the facility kitchen. B. Record review of the facility policy of Safe Food Handling dated revision 2/14/17 revealed: D. Holding and Service 1. Hot food must be held at 135 degrees Fahrenheit (F) or above, and cold food at 41 degrees F or colder. 6. When serving cold food, fill wells with ice, and cover food whenever possible to maintain temperature. Observation on 11/13/17 at 9:23 AM during medication pass, it was noted after providing medications to Resident 235, that the yogurt that was used to administer medications was 60 degrees F. Interview with Staff Member D, on 11/13/17 at 9:23 AM, revealed that Resident 235 was the only resident that yogurt was used to administer medications. Staff Member D revealed that the yogurt was taken from the unit refrigerator at 7 AM that morning, and was placed on top of the medication cart for use. Staff Member D confirmed that the yogurt was not placed in ice wells when not in use. Staff Member D confirmed that the temperature at the time of administration, at 9:23 PM was 60 degrees as tested with thermometer. Interview with Unit Manager [NAME] on 11/13/17 at 9:23 AM confirmed that the yogurt was served at a temperature higher than the facility policy of 41 degree or less. Interview with the facility Dietary Manager on 11/13/17 at 12:29 AM confirmed that yogurt was to be served at 41 degree or less and that it was to be kept on ice if out of the refrigerator waiting to be served to maintain the temperature. The dietary manager confirmed that safe food handling policy was not followed. 2020-09-01