cms_AL: 43

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.

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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
43 PLANTATION MANOR NURSING HOME 15015 6450 OLD TUSCALOOSA HIGHWAY P O BOX 97 MC CALLA AL 35111 2018-04-19 812 F 0 1 K9LV11 Based on observations, interviews, and a review of the facility's policy and procedure titled, HANDWASHING the facility failed to ensure EI (Employee Identifier) #9, a dietary worker, performed hand washing when going from the dirty dish washing area to the clean dish washing area and when storing clean dishes after working in the dirty dish area. This was observed on one of three survey days and had the potential to affect all ninety-seven residents receiving meals from the kitchen. Findings Include: A review of an undated facility policy titled, HANDWASHING revealed: Policy: Staff will wash hands as frequently as needed throughout the day following proper hand washing procedures . 1. When to Wash Hands: . After handling soiled equipment or utensils. After engaging in other activities that contaminate the hands. On 04/18/18 at 03:00 PM, an observation of the dish washing process was made. EI #9 entered into the dish washing area. EI #9 was observed to place dirty dishes into the dish rack, then placed the dirty dishes into the dish washer and without washing his hands pulled clean dishes out of dish washer. EI #9 continued to load dirty dishes into the dish racks and move to the clean dish area and pick up clean dishes and took them to the storage area in the kitchen. EI #9 was never observed washing his hands in between movement from dirty to clean areas. EI #9 left the washing area and on return, stopped and tied his shoe, then continued into the clean dish area and never washed his hands. An interview was conducted with dietary worker, EI #9 on 04/18/18 at 4:38 PM. EI #9 was asked what was the facility policy for dish washing. EI #9 replied the dirty dishes had to be run through the dish washer and the clean dishes could not be put back with the dirty dishes because that was cross contamination. EI #9 also said he had to wash his hands when he touched the dirty dishes before he could touch the clean dishes. EI #9 was asked if he had followed the facility policy while washing dishes that day. EI #9 replied, no he did not. EI #9 also said he kept forgetting to wash his hands. EI #9 was informed of the observation made of him entering the dish washing area, placing dirty dishes in the washing racks, placing them into the dish washer, then going into the clean dish area and putting away clean dishes. EI #9 was asked if that was what he did. EI #9 replied yes that was what he did. EI #9 said he forgot to wash his hands. An interview was conducted with the Dietary Manager, EI #8 on 4/19/18 at 6:49 PM. EI #8 was asked what was observed on 4/18/18, during dish washing, after the lunch meal and before the dinner meal was served. EI #8 said the wash aide, EI #9, crossed over from the dirty dish washing side to the clean dish washing side multiple times without washing his hands. EI #8 also said EI #9 bent down to tie his shoe and did not wash his hands prior to returning to the clean dish washing side. EI #8 continued and said EI #9 started putting up the clean dishes. EI #8 was asked what was the problem/concern with handling dishes in the manner observed by this surveyor on 4/18/18. EI #8 replied a potential for cross contamination, infection control, food borne illness and bacterial growth. EI #8 was asked why should hand washing be performed when moving from the dirty dish area to the clean dish area. EI #8 replied to prevent cross contamination. EI #8 continued and said the policy was they should wash their hands anytime there was potential for cross contamination. 2020-09-01