cms_NE: 3607

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.

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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
3607 LANCASTER REHABILITATION CENTER 285275 1001 SOUTH STREET LINCOLN NE 68502 2018-12-04 812 F 1 1 ESLD11 > Licensure Reference Number 175 NAC 12-006.11E Based on observations and interviews, the facility failed to ensure that foods were fresh, foods were discarded on or before the expiration date, bread containers were dated, floors were maintained in a clean manner in the walk in refrigerator, freezer and dry food storage area in the facility kitchen, fluid spills were wiped up in the reach in refrigerator, soiled rags were not left in the reach in refrigerator and food carts did not contain soiled dried on food and liquid particles and the facility failed to ensure hair nets full contained all hair during meal service and food preparation in accordance with food code guidelines. This had the ability to affect all residents that ate foods prepared in the facility kitchen. The facility census was 217. Findings are: Observation on 11/26/18 between 8:15 AM and 8:30 AM with the Director of Food Service (DFS) identified the following sanitation issues in the facility: - A box which contained several black, slimy bananas on a shelf in the dry storage room. - Four wilted and slimy cabbage heads in a bag on a shelf in the walk in cooler. - Two bags of wilted, brown discolored parsley dated with an expiration date of 10/18/18 on a shelf in the walk in cooler. - Dried on food and liquids spills and food particles on the floor walk in cooler, freezer and the dry storage area. - A soiled wet rag left on the shelf in the reach in refrigerator. - A dust covered and black particles on a fan in the soiled dish area. The fan faced the clean dish area and blew on the clean dishes. - A dust covered and black particles present on a fan above the food tray line. The fan faced the tray line and blew on the trays being prepared for service. - Food storage/transport carts had dried on food and liquid spills present Interview on 11/26/18 at 8:30 AM with the DFS confirmed the observations that some foods were not fresh, had not been discarded on or before the expiration date, food and liquid spills were present in the walk in cooler, freezer, dry storage area and food storage/transport carts, a soiled wet rag had been left on the shelf in the refrigerator and dust covered fans were present above the clean dish area and the food service line. Observation on 12/03/18 at 08:38 AM during breakfast service in the 400 unit dining area revealed that Dietary Aides A, B and C had hairnets in place. The hairnets did not fully contain all hair and hair was exposed on back and sides of heads for Dietary Aides A, B and C. Interview on 12/03/18 at 08:39 AM with the DFS confirmed that hairnets should be contain all the hair. Record review of a facility Policy on Employee Hygiene and Sanitary Practices dated (MONTH) 2008 identified the following: - Hair nets and caps and/or beard restraints must be worn to keep hair from contacting exposed food, clean equipment, utensils and linens. Record review of the Nebraska Food Code 2-402.11 revealed that food employees shall wear hair restraints such as hats, hair coverings, or nets, beard nets, and clothing that covers body hair, that are designed and worn to effectively keep their hair from contacting exposed food. Record review of the Nebraska Food Code 3-302.11 (7) revealed that food shall be protected from cross contamination by storing damaged, spoiled or recall food being held in the food establishment. Record review of the Nebraska Food Code 3-305.11 revealed that food shall be protected from contamination by storing the food in a clean, dry location where it is not exposed to splash, dust or other contamination. Record review of the Nebraska Food Code 4-602.12 revealed that non food contact surfaces of equipment shall be cleaned at a frequency necessary to prevent the accumulation of soil residues. 2020-09-01