cms_TN: 8772

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
8772	AGAPE NURSING AND REHABILIATION CENTER, LLC	445162	505 N ROAN STREET	JOHNSON CITY	TN	37604	2013-12-04	371	F	0	1	IL8E11	Based on observation, facility policy review, and interview, the facility failed to maintain a clean and sanitary kitchen. The findings included: Observation on December 2, 2013, at 7:35 p.m., during the initial tour of the kitchen revealed: 1. Three of three muffin pans with black crusty debris on the inside and outside and one of three muffin pans had rust colored debris on the inside. 2. Five of six size 400 pans with black crusty debris on the inside and outside and three of the five pans had water droplets on the inside and outside. 3. Twenty of twenty-two size 200 pans were dirty with brown and black debris on the inside. 4. Two of two large deep pans (used to cook meat) with crusty brown and white debris on the inside. 5. Two of two shallow pans (used to cook meat) with crusty brown and white debris on the inside. 6. One of one large dessert pan with black and white debris on the inside. 7. Twenty of twenty-one sheet pans with white crusty debris on the inside. Continued observation in the kitchen at the food preparation area revealed: 1. Two of two stack convection ovens with black crusty debris and food particles on the inside at the bottom. 2. Five of six wells on the steam table had food debris and white particles floating in the water. One of the five wells also had hair floating in the water. 3. One of one free standing deep fryer containing black oil with food particles floating in the oil. Unable to visualize the bottom of the deep fryer due to the blackness of the oil. Also food debris on the outside of the fryer. Observation of the front serving area on December 3, 2013, at 7:15 a.m., revealed: 1. The ice tea maker had dark brown sticky areas in numerous areas on the outside of the dispenser. The dispenser was empty. 2. The Juice machine had orange dried sticky substance in numerous areas on the outside of the machine. Review of facility policies for cleaning and sanitizing revealed: 1. .Beverage Fountain .Properly Clean and Sanitize Post-Mix Beverage Machines Procedure Frequency: daily . 2. .Deep Fryer .Cleaning & Sanitizing .Procedure Frequency: Daily: Exterior Weekly: .When Needed 3. .Ice Tea Dispenser .Cleaning & Sanitizing .after each use . 4. .Oven: Bake/Stack .Degreasing & Cleaning .Frequency: weekly: 5. .Steam Table Cleaning & Sanitizing .Frequency: After each use . Interview with Dietary Cook #1 on December 2, 2013, in the kitchen during the initial tour and at the time of the first observation confirmed the facility had failed to maintain a clean and sanitary kitchen. Interview with the Dietary Manager on December 3, 2013, at 7:20 a.m., in the front serving area confirmed the ice tea maker had not been used since the day before (December 2, 2013). The Dietary Manager also confirmed the substances on the juice machine had not just occurred and the kitchen equipment was not clean and sanitary.	2017-04-01