cms_SC: 9853

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
9853 THE COTTAGES AT BRUSHY CREEK 425004 101 COTTAGE CREEK CIRCLE GREER SC 29650 2011-05-18 371 F 0 1 B6NE11 On the days of the survey, based on observation, interview, and review of the policies entitled "Reheating Food to Serving Temperature", "Kitchen Set-Up for Preparation and Production", and "Preventing Contamination of Food during Preparation and Serving", the facility failed to store, prepare, distribute, and serve food under sanitary conditions. The findings included: On 5/16/11 at 10:35 AM, a tour of all the Cottage kitchens was conducted with the Food Service Director. In the Jasmine Cottage it was observed that a plastic bag with pancakes was not labeled or dated. The microwave contained rust on the inside of the door and in the inside back corners. The small refrigerator contained a cup with a thickened liquid that was not labeled or dated. In the Camellia Cottage it was observed that the microwave had rust on the inside of the door. The ice machine contained a pink substance around the screws on the top inside the ice machine and a rust colored substance on the metal in the back of the ice machine. In the Dogwood Cottage it was observed that a bag of fries in the freezer had slits in the bag. There was a pan on the counter covered with foil containing a pork loin. The microwave contained rust on the inside door and the paint of the inside top was bubbled up. In the Azalea Cottage it was observed that a container of sausage in the freezer was not labeled or dated. The microwave contained rust on the inside of the door and on the inside rim. In the Forsythia Cottage it was observed that the microwave had rust on the inside door and on the inside rim. One of the plastic lids on the steam table was broken and had a crack in the front. The reach in freezer in the dry storage area had ice build up on the bottom shelf of the freezer with boxes placed on top of the ice. In the Rose Cottage, an open bag with frosting was observed in the reach in refrigerator. The microwave had rust on the inside door. Both ovens contained dried food on the doors. The Food Service Director stated that neither oven had been used that day. The freezer in the dry storage area had ice build up on the bottom shelf and a bag of biscuits that was opened and not labeled or dated. In the Tea Olive cottage it was observed that there was mold like substance in the ice machine. One of the plastic lids on the door of the refrigerator was cracked in the middle. In the freezer in the dry storage there was ice build up on the bottom rack with boxes placed on top of the ice. In the Rhododendron Cottage it was observed that a pitcher of tea was dated 5/11. There was two pans of biscuits in the freezer not covered properly. A container of watermelon was in the refrigerator not labeled or dated. Three pots of food were on the stove, the stove was not on. The pots contained beef tips, rice, and mixed vegetables. In the Lilac Cottage it was observed that the microwave had rust on the inside door and on the inside rim. Both ovens contained dust around the inside edges. A broom and a dust pan were observed in the dining room not being used. The freezer in the dry storage had ice build up on the bottom shelf. In Magnolia Cottage it was observed that a container of chopped strawberries were not labeled or dated. A bag of strawberries were opened and not labeled or dated. In the small refrigerator there was cantaloupe dated 5/8 and a container of cantaloupe dated 2/30. There was a bag of food dated 5/12. On 5/16/11 at 4:30 PM, during dinner meal observation in Tea Olive Cottage it was observed that the cole slaw was not offered to any of the residents at the meal. An interview with Certified Nursing Assistant (CNA) #1 was conducted. She stated that she forgot to serve the cole slaw at the meal. On 5/16/11 at 5:05 PM, during dinner meal observation in Magnolia Cottage it was observed that staff changed gloves 4 times and did not wash hands at any time between glove changes. On 5/17/11 at 10:50 AM, it was observed that a bottle of sanitizer was left on the shelf in dining room. On 5/17/11 at 12:00 PM, during meal temperatures in Azalea Cottage, it was observed that the chicken was 120 degrees Fahrenheit. The CNA reheated the chicken in the microwave to a temperature 145 degrees Fahrenheit and then served the chicken to residents. On 5/17/11 at 12:20 PM, during observation of lunch meal in Forsythia Cottage it was observed that the CNA serving food from the steam table was not wearing a hairnet while plating food. On 5/18/11 at 10:00 AM, an interview was conducted with the Food Service Director. He confirmed findings. Per review of the facility policy entitled "Reheating Food to Serving Temperature" dated 08.03.05, it revealed that "Potentially hazardous food that is cooked and cools to a temperature below 140 degrees Fahrenheit will be reheated. The food will be reheated to an internal temperature of 165 degrees for 15 seconds". Per review of the facility policy entitled "Kitchen Set-Up for Preparation and Production" dated 08.01.03, it revealed that "1. Put on hairnet or hair restraint." Per review of the facility policy entitled "Preventing Contamination of Food During Preparation and Serving" dated 20.05.02, it revealed "Disposable gloves may be used for only one task... Hands will be washed before putting on gloves and after disposal of gloves". On 05/16/2011 at 5:00 PM, during observation of the dinner meal in Tea Olive Cottage, Certified Nursing Assistant (CNA) #1 put on gloves in the dining area without washing her hands and prepared drinks. She went to the kitchen area, opened the refrigerator and removed pitchers containing tea and lemonade. The CNA returned to the dining area, prepared more drinks and served them to the residents. She removed her gloves and, after completing several tasks, disposed of her gloves and donned new gloves without washing her hands, then prepared drinks. She touched supplement cans and opened straws touching the mouth tip. She removed her right glove and held it in her left hand while assisting residents. She reapplied the right glove, then removed the left glove and removed sandwich relish from the refrigerator. The CNA reapplied the soiled left glove, untied the hamburger bun wrapper, opened the buns and reached in with her soiled gloved hand, removed a hamburger bun and placed it on a resident's plate. CNA #1 proceeded to touch the tops of the steamer containers and used utensils to dip french fries and serve residents. During the same meal service, CNA #2 donned gloves without washing her hands. She was also observed to handle utensils, container tops and food items while serving residents. She then removed her gloves, applied alcohol-based hand sanitizer and donned new gloves before serving plates to the residents. After touching serving utensils, the CNA proceeded to the buffet and removed spoons and forks, touching mouth tips. She touched chairs and residents, then served residents from the steam table with the soiled gloves. 2014-10-01