cms_AL: 18

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
18	HIGHLANDS HEALTH AND REHAB	15012	380 WOODS COVE ROAD	SCOTTSBORO	AL	35768	2017-03-16	371	F	0	1	WKAI11	Based on observation, interview and facility policies titled PRODUCTION, PURCHASING, STORAGE, KITCHEN HOOD CLEANING AND MECHANICAL AREA, ROOF AND GROUNDS the facility failed to ensure the following: 1. Boiled eggs were not stored in the refrigerator past the 3 day, use by date. 2. A pan of Jello was not stored past the use by date of 3-12-17. 3. Jello, oranges and pudding were not observed uncovered and undated in the refrigerator. 4. Meat balls, sloppy Joe meat and Corn on the Cobb were not stored in the freezer past the use by date. 5. Roast Beef was not stored in the freezer without a use by date. 6. Diced tomatoes, Swiss cheese and Pepper Jack cheese were not stored in the refrigerator past the use by date. 7. A pipe above the stove was free of a dust like substance. 8. A portion of the ceiling in the kitchen was free of a dark drown substance. This was observed during the initial tour of the facility on 3-14-17 and 3-15-17 and affected 49 of 49 residents receiving meals from the kitchen. Findings Include: A review of a facility policy titled PRODUCTION, PURCHASING, STORAGE with a revised date of 1/16, documented the following: POLICIES: All food, non-food items and supplies used in food preparation shall be stored in such a manner as to prevent contamination to maintain the safety and wholesomeness of the food for human consumption . PR[NAME]EDURES; .The words .Use-by should precede the date .foods past the use-by . date should be discarded .Cover, label and date unused portions and open packages .Frozen STORAGE .Food stored frozen should be kept no longer than 3 months for quality purposes .Discard food past the use-by or expiration date . A review of a policy titled KITCHEN HOOD CLEANING effective 1/1/99 documented the following: .Kitchen Hood Cleaning .A licensed service contractor will clean as necessary the kitchen hood system every six (6) months . A review of a facility document check titled MECHANICAL AREA, ROOF AND GROUNDS .CHECKLIST documented the following: .Check the roof monthly, Report any problems . During the initial tour of the kitchen on 3/14/17 from 2:19 p.m. - 3:00 p.m. the following observations were made in the kitchen: 1) Boiled eggs were stored in the refrigerator past 3 days once cooked. 2) Jello was observed with a use by date of 3-12-17 3) Oranges, Pudding and Jello were observed uncovered and undated. 4) Meatballs had a use by date of 3-2-17. 5) Sloppy Joe had a use by date of 3-12-17. 6) Corn on the Cobb had a use by date of 3-7-17. 7) Roast Beef did not have a use by date. 8) Diced tomatoes had a use by date of 3-13-17. 9) Swiss cheese had a use by date of 3-3-17. 10) Pepper Jack cheese had a use by date of 2-21-17. The following observations were made on 3/15/17 from 10:55 a.m. - 11:48 a.m.: 1) Dust accumulations was as on the pipes above the stove. 2) The ceiling in the kitchen was discolored. 3) The Swiss Cheese had a use by date of 3-3-17. 4) Pepper Jack cheese had a use by date of 2-21-17. An interview was conducted with Employee Identifier (EI) #8, Dietitian, on 3/15/17 at 5:00 p.m. EI #8 was asked how long boiled eggs should be kept once cooked. EI #8 replied 3 days and if kept longer there is a potential for food borne illness. EI # 8 was asked if Jello, with a use by date of 3-12-17, was observed on 3-14-17 should it be discarded. EI # 8 replied it should have been discarded. EI # 8 was asked if Jello, Oranges and Pudding should be uncovered and undated. EI #8 replied everything should be covered and have an open and use by date. EI #8 was asked if items in the freezer, such as Meat Balls and Sloppy Joe meat should be kept past the use by date. EI #8 replied no. EI #8 was asked if Roast Beef in the freezer should have a used by date. EI #8 replied yes. EI #8 was asked if items, such as diced tomatoes, Swiss Cheese and Pepper Jack cheese should be kept past the use by date. EI #8 replied no and it could cause food borne illness. EI #8 was asked about dust observed on a pipe above the stove. EI #8 replied there should be no dust near food. EI #8 further stated they have a cleaning schedule for the oven. EI #8 was asked about the stained ceiling in the kitchen. EI #8 replied its been that way a couple of months. EI #8 replied it should be fixed.	2020-09-01