cms_SC: 8221

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
8221	CHESTER NURSING CENTER	425061	1 MEDICAL PARK DRIVE	CHESTER	SC	29706	2012-05-03	371	E	0	1	WII411	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On the days of the survey, based on observation and interview, the facility failed to store and prepare food under sanitary conditions as evidenced by lids off trash cans, food stored in opened bags in bins without covers, food not covered in the freezer, hand sink without a pedal trash can available, and tiles missing around a drain in the floor. The findings included: Observations on 4/30/12 at approximately 10:30am revealed lids off the trash cans in the dishroom, which was not being used at the time. Lids off the trash cans by both coolers. In the freezer were open boxes of breaded meat, chicken, and ravioli. There was a bin containing an open bag of flour with no lid. Under a prep table there was a bin containing an open bag of rice with no lid and a bin with an open bag of flour with no lid. The hand sink by the trayline had no trash can with a foot pedal available. Under the raw meat prep table was a drain where there were no tiles for approximately 8 inches around the drain exposing a porous surface and impeding free flow of liquids to the drain. Observations on 5/1/12 at approximately 11:50am revealed that the above findings continued to be in existence with the addition of an observation of staff washing their hands at the hand sink and having to open the lid of a trash can with their clean hands to dispose of used paper towels. Observations on 5/2/12 at approximately 10:00am with the Food Service Director and the Registered Dietitian revealed that the above findings continued to exist. Interviews with the Food Service Director and the Registered Dietitian confirmed that the trash can should be covered at all times, food in bins should not be stored in open bags and the bins should be covered, the food in the freezer should be tightly covered, there should be a trash can with a foot pedal at the hand sink, and the surface area around the drain should be of a non porous surface to allow free flow of liquids into the drain. Observations of the Gaston Nourishment refrigerator on 4/30/12, at approximately 12:05pm and again at 2:00pm and 4:15pm revealed 2 honey thick [MEDICATION NAME] containers with an expiration date of 3/13/12 in a crisper drawer. In storage area of the door were: (1) container of honey thick milk with an expiration date of 10/25/11, (1) container of honey thick milk with an expiration date of 2/12/12, and (1) container of honey thick milk with an expiration date of 4/27/12. On the shelving were: (2) containers of nectar thick milk with an expiration date of 3/9/12, (2) containers of nectar thick cranberry juice cocktail with an expiration date of 4/26/12, (1) container of honey thick tea with an expiration date of 3/25/12, (1) container of honey thick [MEDICATION NAME] with an expiration date of 3/13/12, (1) container of honey thick [MEDICATION NAME] with an expiration date of 4/18/12, and (1) container of honey thick cranberry juice cocktail with an expiration date of 4/1/12. Interview with the Registered Dietitian on 5/2/12 at approximately 8:40am indicated that the dietary department is responsible for stocking the Gaston Nourishment refrigerator with thickened liquids and is responsible for checking expiration dates of the thickened liquids and removing as needed. The RD confirmed that the above items were stored in the refrigerator on 4/30/12.	2016-06-01