Improper Storage of Food in Patient & Family and Bistro Refrigerators: The facility failed to store resident food according to policy when the Patient & Family refrigerator and Bistro refrigerator contained multiple unlabeled, undated, expired, and uncovered items. Observations found an opened can of lemonade, expired nutritional supplements and yogurt, undated containers and sandwiches, and 5 undated roast beef and cheese sandwiches in the Bistro fridge. An LPN and the CDM stated these items should not have been in the refrigerators.
Kitchen Food Storage and Sanitation Deficiencies: Surveyors found an empty soap dispenser at the only hand-washing station, a microwave with dried food splatter, a deep fryer with dark brown oil and food particles, and buildup on the floor, oven doors, and drying rack. They also found unlabeled, undated, expired, and moldy food items in the walk-in refrigerator, dry storage, and nutritional refrigerator, and the DM and RD acknowledged several items should have been discarded or properly labeled.
Improper Food Storage and Nonfunctional Dietary Equipment: Surveyors found multiple dry storage and refrigerated food items available for resident use that were undated, unlabeled, or past use-by dates, including cereal, tortillas, wafers, cheese, and noodles. The dietary area also had a deep fryer and a reach-in refrigerator that were not operational, and the DON confirmed the foods had been stored improperly and were in violation of facility policy.
The facility did not consistently record daily temperatures for the refrigerator, freezer, and cooler as required by policy, resulting in food being stored and served without proper temperature monitoring. This deficiency affected 38 residents who received food trays during the period when temperature checks were not documented.
Surveyors found multiple food safety and storage deficiencies, including dietary staff with visible facial hair working in the kitchen without required beard restraints, unlabeled dry cereal and meat packages lacking names and dates, and a walk-in freezer operating at a temperature that left numerous food items not frozen solid while still available for use. Additionally, a half-full carton of nutritional supplement with a past expiration date was found on a medication cart and confirmed by an LPN to be expired yet still available for resident use. No residents were reported to have signs of foodborne illness at the time of the survey.
Surveyors found that the facility did not maintain a sanitary kitchen, with issues including unlabeled and undated sandwiches, debris on food equipment, a contaminated ice machine drain, uncovered eggs stored below ready-to-eat foods, and buildup of dirt and grease in multiple areas. The Dietary Manager confirmed these sanitation lapses.
Surveyors found that the emergency food supply was not fully stocked according to the facility's emergency menu and policy, with several required items such as juice, crackers, peanut butter, beef stew, corn beef hash, beets, sloppy joe, and ravioli missing. The Dietary Manager and Administrator confirmed the deficiency during interviews.
The facility did not ensure that kitchen beverage cooler and high temperature dishwasher temperatures were maintained within recommended ranges, with logs showing out-of-range readings and missing required surface temperature checks. These issues were not promptly reported or addressed, and were missed during weekly reviews by the DM and confirmed by facility leadership.
The facility did not obtain food from approved or satisfactory sources and failed to store, prepare, distribute, and serve food according to professional standards.
Surveyors observed that food items, including dry cereal, pasta, and frozen products, were not properly sealed, labeled, or dated, and expired canned goods were available for use. The Certified Dietary Manager confirmed these items were not stored according to policy, potentially affecting nearly all residents.
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