cms_ND: 7

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
7	THE MEADOWS ON UNIVERSITY	355024	1315 S UNIVERSITY DR	FARGO	ND	58103	2017-05-10	371	E	1	1	ZMNB11	> Based on observation, review of the facility's policies, manufacturer recommendations, and staff interview, the facility failed to store and/or prepare food in a safe and sanitary manner in 2 of 3 food service areas (kitchen & North nurses station). Failure to ensure sanitizing solutions are at the correct concentration and failure to store food appropriately in a refrigerator may result in a food borne illness that can affect all residents who eat food prepared and served in these areas. Findings include: Review of the facility policy titled Manual[NAME]Washing occurred on 05/09/17. This policy, revised (MONTH) (YEAR), stated, . Some items which cannot be washed in the dishwasher are washed manually in the three compartment sink. Fill the third sink with hot water. Add Oasis 146 (multi-quaternary sanitizer) to give a concentration of 200-400 ppm (parts per million). Test the concentration with the QT-40 (quaternary) test strip designed for Oasis 146 . Check the concentration of the sanitizing solution periodically and add sanitizer or replace solution if necessary . Review of the manufacturer wall chart titled Oasis 146 Multi-Quat Sanitizer occurred on 05/09/17. The undated wall chart, stated, . Sanitation range . should be between 150-400 ppm . Review of the facility policy titled Pantry/Nutrition Room Cleaning occurred on 05/09/17. This policy, revised 03/01/03, stated, . Housekeeping staff will clean and disinfect the Medication Room on a daily schedule. Clean and defrost refrigerator as needed . - An observation of the kitchen on 05/09/17 at 2:00 p.m. showed a cook (#8) washed soiled dishes in a three compartment sink. The cook (#8) washed pots, ladles, and steam table buckets in the three compartment sink and set them out to dry. Using a QT-40 test strip, the dietary manager (#9) obtained a reading of 150 ppm in the third compartment sink containing Oasis 146 sanitizing solution. Observation also showed a quaternary wash bucket sitting on a counter. The dietary manager (#9) obtained a reading of 0 ppm in the wash bucket, and confirmed staff had used the mixture to clean tables in the dining room. During an interview on 05/09/17 at 2:30 p.m., the dietary manager (#9) confirmed the Oasis 146 sanitizing solution should range from 200-400 ppm in the three compartment sink and the quaternary wash buckets should be at least 150 ppm. - An observation of the North nurses station on 05/09/17 at 2:35 p.m. showed a refrigerator freezer containing three nutrition supplement cartons dated 11/01/16 and an ice cream cup frozen to the freezer. The dietary manager (#9) confirmed staff needed to clean the freezer. During an interview on 05/09/17 at 3:00 p.m., the dietary manager (#9) confirmed staff needed to clean the refrigerator, and reported staff did not have a cleaning schedule for the refrigerator.	2020-09-01