cms_ID: 85

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
85	GATEWAY TRANSITIONAL CARE CENTER	135011	527 MEMORIAL DRIVE	POCATELLO	ID	83201	2019-04-12	812	F	0	1	WTPU11	Based on observation, policy review, and staff interview, it was determined the facility failed to a) date items in the freezer and refrigerator, b) ensure staff contained all hair with a hair net, c) ensure infection control practices were implemented when gathering ice to be used to keep foods cool and d) clean and maintain the kitchen floor. These deficient practices placed 18 of 18 sample residents (#1, #2, #11, #22, #23, #26, #27, #36, #42, #43, #44, #62, #65, #67, #71, #76, #228, and #229) who dined in the facility, and the other 61 residents who dined in the facility, at risk food borne illness or other disease-causing pathogens. Findings include: The facility's food labeling and dating policy, dated (YEAR), directed staff to date food upon receipt before being stored. The policy also documented food moved from the freezer to the refrigerator for thawing was to be labeled with the removal date and a use by date. The facility's Staff Attire policy, dated 9/2017, directed staff members to have their hair off the shoulders and confined in a hair net or cap. On 4/8/19 from 4:00 to 4:30 PM, during a tour of the kitchen the following were observed: * An open half bag of brussel sprouts was in the freezer. The bag was not dated when it was opened. Five other bags of brussel sprouts were found in the refrigerator without labels or dates as to when they were moved from the freezer to the refrigerator. * DA #1 had on a baseball cap in the kitchen. The lower half of her hair was loose and hung almost to her shoulders. * A plastic pitcher was face down on top of the ice machine. DA #1 took the plastic pitcher and filled it with ice and walked across the kitchen to a plastic tub with milk and juice cartons in it and poured the ice into the plastic tub. At that time, the DM told DA #1 to use the ice scoop and not the pitcher. The DM then instructed DA #1 to place the plastic pitcher in the dish washing area. * The floor throughout the kitchen and storage areas was dirty, with grime build up along the walls, door frames, drains, and stationary equipment. Various cracks and divots were observed in the flooring in multiple areas throughout the kitchen and storage areas. On 4/8/19 at 4:00, 4:26, and 4:30 PM, the DM said the brussel sprouts found in the freezer should have been dated when they were opened, and the brussel sprouts found in the refrigerator should have been dated when they were moved from the freezer to the refrigerator. She said the brussel sprouts were thawing for the next day's meal and said she moved them from the freezer to the refrigerator and had not dated them because she was in a hurry. The DM said she believed dietary staff could either wear a hair net or a baseball cap, and hair in a cap could reach the shoulders. The DM said she expected staff to use the ice scoop next to the ice machine instead of the plastic pitcher. On 4/9/19 at 8:22 AM, the kitchen floor was not completely clean. There was build up along all the walls and around legs of stoves, cabinets, preparation tables, ice machine, and almost all items stationary in the kitchen. The floor tile had divots and cracks throughout the kitchen, especially in the grill area. All areas of the kitchen and storage areas had tiles that were worn and cracked. On 4/9/19 at 8:22 AM, the DM said the facility was aware of the condition of the floor and planned to replace the floor last (MONTH) but had not completed that project. She said the surface of the floor was uncleanable and they did the best that we can to keep it clean. On 4/9/19 at 8:56 AM, the Facility Operations Manager said the kitchen floor had been identified for replacement last (MONTH) and he believed the floor would be replaced in (MONTH) or (MONTH) of this year. He said a solid plan for when the floor would be replaced would depend on the facility's ability to hire a mobile kitchen to use for the period the floor would be replaced.	2020-09-01