cms_NE: 6196

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
6196	DOUGLAS COUNTY HEALTH CENTER	285019	4102 WOOLWORTH AVENUE	OMAHA	NE	68105	2015-06-24	371	E	0	1	72PT11	LICENSURE REFERENCE NUMBER 175 NAC 12-006.11E Based on observations and interviews; the facility failed to handle ready to eat foods in a manner to prevent potential cross-contamination for residents that consumed foods from 3 of 10 nursing units. This could potentially effect 68 residents. The facility staff identified a census of 242. Findings are: A. Observed on 06/23/2015 at 7:57 AM, the Miracle Garden dining room, Nursing Assistant (NA) D, was observed to put jelly to two pieces of toast, without wearing gloves and no hand washing observed immediately prior to or after serving the toast to the resident. An interview with NA D on 06/23/2015 at 9:26 AM revealed that NA D confirmed that NA D is to use gloves when (gender) is to prepare toast and acknowledged that (gender) was not wearing gloves. B. Observations on 6/22/15 at 12:13 PM on Miracle Gardens revealed Nurse Aide A preparing a peanut butter and jelly sandwich. Nurse Aide A was not observed to wash hands or put on gloves prior to handling bread. Nurse Aide A was observed handing tray cards, peanut butter and jelly packets before handling bread for sandwich. C. Observations on 6/23/15 at 7:39 AM on Field of Dreams revealed Dietary Aide B touching tray cards and cabinet doors with gloved hands than placing bread into toaster and buttering toast with same gloves. Dietary Aide used same gloves to place toast onto plates for service to residents. D. Observations on 6/23/15 at 8:07 AM on Eden Way revealed Dietary Aide C touching tray cards, cabinet handles, and toaster handles with gloved hands. Dietary Aide C continued to place toast on plates for service to residents without washing hands or changing gloves. E. In an interview on 6/23/15 at 2:39 PM, the Director of Dietary Department reported staff members should wash hands and put gloves on before handling any food that is not going to be cooked. Dietary Director confirmed gloves after touching other things such as cabinet handles. F. Review of the 3/8/2012 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: -single use gloves shall be used for only one task such as working with ready to eat food and discarded when damaged or soiled, or when interruptions occur in the operation. -food employees shall minimize bare hand arm contact with exposed food	2019-05-01