cms_AZ: 90

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
90	DESERT HAVEN CARE CENTER	35062	2645 EAST THOMAS ROAD	PHOENIX	AZ	85016	2017-02-03	364	D	0	1	TPN311	Based on observations, staff interviews and a review of facility policy, the facility failed to ensure that food was served at the proper temperature. Findings include: A lunch observation was conducted on (MONTH) 30, (YEAR), in the main dining room. During this observation the following issues were observed: -After the meal cart arrived in the dining room, 5 residents were served their meal. These residents sat with their covered food plate in front of them for 15 to 35 minutes, before a staff member assisted them to eat their meal. A second dining observation (breakfast) was conducted on (MONTH) 1, (YEAR), in the main dining room. The following issues were identified: -The breakfast meal was scheduled to be served at 7:30 a.m., however, the food cart was not delivered from the kitchen until 7:45 a.m. -The first meal tray was served to a resident at 7:55 a.m., which was 10 minutes after the food cart had arrived from the kitchen. -At this time, four residents were identified to require feeding assistance. The first resident was assisted with her breakfast at 8:10 a.m. and the second resident was assisted with his meal at 8:20 a.m. Although the breakfast plates were covered, the trays had been sitting on the residents' table from approximately 7:55 a.m. -At 8:30 a.m., a CNA (Certified Nursing Assistant) was observed to prepare to feed the third and fourth resident their breakfast. Although the breakfast plates were covered, they had been sitting on the dining room table since 7:55 a.m. At this time, the breakfast food temperature was obtained by the dietary manager. The pureed biscuits and gravy was at 79 degrees F. (Fahrenheit) and the oatmeal was at 113 degrees F. The dietary manager then instructed that another breakfast meal be provided to those residents. An interview was conducted on (MONTH) 1, (YEAR) at 8:40 a.m. with the dietary manager (staff #112). He stated that the covered foods would only stay hot for approximately 20 minutes after it was served. He stated that at the temperatures obtained, the food would not be considered hot and should not be served to a resident. He stated that the residents should be assisted with their meals when it comes out of the kitchen. Another interview was immediately conducted with a CNA (Certified Nursing Assistant/staff #32), who was preparing to assist the third and fourth resident with their meals. She stated that staff were not assigned to assist certain tables or residents, and that she had seen the residents sitting with the covered plates on the tables, while she was serving the beverages. The CNA stated that she should have realized that their food was getting cold and she should have obtained hot food for those residents. A facility policy titled, Assistance with Meals included the following: 5. For all residents, hot foods shall be held at a temperature of 136 degrees or above until served .Nursing and Dietary Services will establish procedures such that delivery of food to serving areas accommodates this requirement.	2020-09-01