cms_AL: 86

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
86 HATLEY HEALTH CARE INC 15023 300 MEDICAL CENTER DRIVE CLANTON AL 35045 2018-05-10 812 F 0 1 YKK111 Based on observations, interviews and review of facility policies titled, Equipment, Food Storage: Dry Goods, Service Line Checklist, Food: Preparation, and Staff Attire and review of the (YEAR) Food Code U.S. (United States) Public Health Service FDA (Food and Drug Administration), the facility failed to ensure: 1) a stored blender was free of debris; 2) food items in the dry storage area was sealed; 3) temperatures of all food items on the trayline were taken; and 4) dietary workers hair was completely enclosed in their hairnets and strains of loose hair was not on the back of a dietary worker's shirt. This had the potential to affect 131 of 132 residents who received meals from the kitchen. Findings Include: 1) A review of a facility policy titled, Equipment, with a revised date of 09/17, revealed: Policy Statement All food service equipment will be clean, sanitary . Procedures . 3. All food contact equipment will be cleaned and sanitized after every use. A review of the (YEAR) Food Code, revealed: . 4-701.10 Food Contact Surfaces . Equipment Food-Contact Surfaces . shall be SANITIZED. 4-702.11 Before use After Cleaning. FOOD-CONTACT SURFACES of EQUIPMENT shall be SANITIZED Before Use after cleaning. On 05/08/18 at 4:57 p.m., the surveyor observed powdered sugar and icing located on the bowl holder and on the back plate of the mixer. The mixer was stored away under a plastic covering to be used again. There was chocolate icing on the bag that covered the mixer. On 5/10/18 at 1:13 p.m., an interview was conducted with (Employee Identifier) EI #23, a Dietary Aide. EI #23 was asked what did she see on the mixer on 05/08/18. EI #23 replied, powdered sugar. EI #23 was asked was it put away for next use. EI #23 replied, yes ma'am. EI #23 was asked, who was responsible for making sure equipment was clean before covering it up. EI #23 replied, the last person who used it. EI #23 was asked why was it important that equipment was clean when putting it away. EI #23 replied, everything was suppose to be sanitized. EI #23 was asked, what was the facility's policy on cleaning equipment. EI #23 replied, clean the work area when finished. 2) A review of a facility policy titled, Food Storage: Dry Goods, with a revised date of 09/17 revealed: . Procedures . 5. All packaged . food items will be kept clean, dry and properly sealed. 6. Storage area will be . arranged for easy identification, and date marked as appropriate. On 05/08/18 at 4:24 p.m., the surveyor toured the storage area along with EI #23. Pure cane sugar was in a large zip lock bag and the zip lock bag was not sealed. The open date was 04/19/18, but no use by date was observed. There was a large zip lock bag with cake mix in it. The open date was 05/03/18 but no use by date was observed and the the zip lock bag was not sealed. There was a large bag of Rottini noodles opened on 03/21/18. The noodles were tied, but there was a large hole at the opening of the bag exposing the noodles and there was no use by date. On 05/10/18 at 1:18 p.m., an interview was conducted with EI #23. EI #23 was asked while touring the dry storage area what did she notice about the cake mix, bag of sugar and Rottini noodles. EI #23 replied, they were all opened. EI #23 was asked how should opened food be properly stored. EI #23 replied, in a sealed bag. EI #23 was asked what was the problem with leaving opened food items exposed or unsealed. EI #23 replied, it could cause bugs and was unsanitary. EI #23 was asked who was responsible for making sure food was stored properly. EI #23 replied, the person that used it last. 3) A review of a facility document titled, Service Line Checklist, with a date of 05/09/18, revealed during the lunch meal, no temperature of the main meat, (chicken) was taken and recorded. A review of a document titled, Food: Preparation, with a revised date of 9/17, revealed: . Procedures . 13. All foods will be held at appropriate temperatures, greater than 135 F (Fahrenheit) .14. Temperature for TCS (Time Temperature Control for Safety) foods will be recorded at time of service . On 05/09/18 at 10:25 a.m., during the lunch meal trayline, the surveyor observed EI #18, the Dietary Aide, taking temperatures on the trayline. All temperatures of the food were taken and written down except the temperature of the fried chicken. On 05/10/18 at 1:27 p.m., the surveyor conducted an interview with EI #18. EI #18 was asked, who was responsible for taking temperatures on the tray line. EI #18 replied, the head cook. EI #18 was asked what did the facility policy say about taking food temperatures on the tray line. EI #18 replied, take the temperature of food once it was put on the tray line. EI #18 was asked why should food temperatures be taken on the tray line. EI #18 replied, to make sure it was above the temperature danger zone. EI #18 was asked when should food temperature be taken on the tray line. EI #18 replied, once the food was set up, and right before you start serving. EI #18 was asked what was the potential harm when food items were not taken on the tray line. EI #18 replied, she had to make sure it was above the danger zone because if it was below it could grow bacteria. EI #18 was asked did she take the temperature of the chicken on 05/09/18. EI #18 replied, no ma'am. EI #18 said she over looked that one. EI #18 was asked where was it documented that she took the temperature of the chicken on the tray line. EI #18 said that it was not on there (menu log) On 05/10/18 at 1:40 p.m., an interview was conducted with EI #17, the Kitchen Manager. EI #17 was asked who was responsible for taking the temperatures on the trayline. EI #17 replied, the head cook. EI #17 was asked what did the facility's policy say about taking temperatures of food items on the tray line. EI #17 replied, TCS foods would be recorded at time of service. EI #17 was asked where was it documented. EI #17 replied, it was not. EI #17 said the square was empty, referring to the lunch menu log. 4) A review of a facility policy titled, Staff Attire, with a revised date of 9/17, revealed: . Procedures 1. All staff members will have their hair off the shoulder, confined in a hair net or cap . On 05/09/18 at 11:07 a.m., the surveyor observed three Dietary Aides, EI #16, 21 and 22, at the tray line with hair coming out of their nets. EI #16's hair was touching the top of her clothing. Some of her hair had broken off and was on the back of her top. EI #17, hair was hanging out at the back of her hair net. On 05/10/18 at 1:33 p.m., the surveyor conducted an interview with EI #17. EI #17 was asked who should wear hairnets. EI #17 replied, every body in the kitchen. EI #17 was asked, when should a hairnet be worn. EI #17 replied, anytime in the kitchen, and around the food production area. EI #17 was asked how should a hairnet be properly worn. EI #17 replied, pulled down with the hair pulled in. EI #17 was asked what was the problem with hair hanging out of the net. EI #17 replied, it had the potential for hair to fall into the food. EI #17 was asked was there hair on the back of a worker's clothing. EI #17 replied, yes. EI #17 was asked which dietary workers hair was not completely enclosed within their hairnet. EI #17 replied, EI #16, 21 and 22. 2020-09-01