cms_AK: 71

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
71	WRANGELL MEDICAL CENTER LTC	25015	P.O. BOX 1081	WRANGELL	AK	99929	2018-04-30	812	F	0	1	O8F911	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review of central kitchen area, the facility failed to prepare and/or store food under proper sanitation and food handling practices. This failed practice placed all residents (based on a census of 10) at risk for foodborne illness and communicable disease. Findings: Food Preparation During a 33 minute observation on [DATE] at 4:57 pm, Cook #2 was observed during dinner preparation. The Cook's hair was exposed (coming out of) hair net; did not wear a mask during food prep and plating despite coughing repeatedly over food; handled food with ungloved hand(s); licked food off of his/her ungloved hand while preparing pureed spinach and resumed food prep without washing hands; and wiped nose with ungloved hand and continued to complete food prep without washing her hands. During a 22 minute observation on [DATE] at 12:10 pm, Cook #1 prepared and plated meals without gloves on, scooping mashed potatoes from a pot using a metal scooper. Next, Cook #1 tossed the scooper into the pot of mashed potatoes and later retrieved the scooper with an ungloved hand, handle of scooper was covered in mashed potatoes, and continued to plate meals with scooper. Food Storage An observation of the central kitchen on [DATE] at 4:57 pm, revealed expired food/damaged containers in freezers: plastic bag labeled turkey carcass ,[DATE] that was covered in ice crystals; plastic container labeled bean soup ,[DATE] lid and lip of container itself was broken exposing food to the environment; 1.5 quart carton of sherbet ice cream, opened with no date, side of carton damaged exposing ice cream to the environment; plastic bag labeled chicken enchilada filling [DATE] food covered in ice crystals; plastic bag labeled ham ,[DATE] covered in ice crystals; 2 - 18oz bags of white tortilla shells expiration date 10 APR (YEAR). Observation of the central kitchen refrigerator on [DATE] at 4:57 pm, contained: 1 - 17.8oz opened bag of white tortilla shells stored in metal bin on bottom shelf next to thawing meat. Head of iceberg lettuce with rotten leaves (broken; dark green; paper-thin; with slimy residue) observed in vegetable bin. During an interview on [DATE] at 12:10 pm, Cook #1 clarified dates on food in freezers; 1) meat: the date is when it arrived at facility; 2) anything opened and put back into the freezer, the date is when it was opened; 3) plastic bags of left overs is the date it was put in the freezer. Cook #1 confirmed storage times for frozen foods, 6 months for frozen meat, 3 months for anything else. If it is post-cooked left overs, its 3 months. Review of facility's document entitled Freezer Food Storage Guideline, no date, revealed specified food items and their corresponding time frame for freezer storage: Bread/Rolls: ,[DATE] months; Ham: 2 months; cooked chicken parts: 4 months; and soups/stews: ,[DATE] months. Review of Wrangell Medical Centers Policy & Procedure Dietary Department: Infection Control, Dietary, Revision date ,[DATE], revealed, Hair nets must be worn during food preparation.	2020-09-01