cms_NE: 7740

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

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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
7740 ASHLAND CARE CENTER 285140 1700 FURNAS STREET ASHLAND NE 68003 2014-05-15 371 F 0 1 2Z8011 Licensure Reference Number: 175 NAC 12-006.11E Based on observation and interview, the facility failed to prepare and serve food in a manner to prevent the potential for food borne illness in the kitchen and on the Special Care Unit (SCU). This had the possibility of effecting all residents who ate at the facility. The facility census was 71. Findings are: A. Observation of the evening meal service on 5-14-14 beginning at 5: 35 PM revealed the following: The cook was observed wearing gloves and serving food from the steam table in the kitchen for the Brown Derby dining room. The cook walked to the refrigerator, pulled the door open with gloves on, retrieved an item, came back to steam table and begin plating meals again without changing gloves. Three other employees had been opening the refrigerator with un-gloved hands to obtain items during the meal service. Further observation revealed the cook did not change gloves and touched surfaces of plates where food would be placed during food service. The cook was then observed pushing food carts to the Hilton dining room with the same gloved hands used in the Brown Derby dining area and then began plating food and checking temperatures of food without changing gloves. The Nebraska Food Code states If used, single-use gloves shall be used for only one task such as working with ready-to-eat food or with raw animal food, used for no other purpose, and discarded when damaged or soiled, or when interruptions occur in the operation (3-304.15). B. Observation of the noon meal service on the Special Care Unit (SCU) on 5/12/14 at approximately 11:50 AM revealed Medication Aide (MA) K passing out beverages to residents and assisting residents with applying their clothing protectors. MA K would perform handwashing in between resident contact however each hand washing was performed for under 5 seconds. MA K then began serving food trays, pushed a resident up to the table and touched the resident on the back. MA K went directly to the sink and again washed hands for less than 5 seconds. At 12:27 PM MA K was observed carrying out a meal tray from a resident's room and then performing hand washing for approximately 5 seconds. Review of the facility's Handwashing policy and procedure revised 10/1/09 revealed when washing hands one should rub hands together using friction for 15 - 20 seconds. 2018-01-01