Sanitation Breach in Food Service
Penalty
Summary
The facility failed to maintain sanitary conditions during food service, as observed during a tray line inspection in the kitchen. Employee 1, a cook, was seen wearing gloves on both hands while handling various items. The employee picked up a resident tray ticket from a cart and placed it on a resident tray, then opened a package of hamburger buns by tearing a hole in the bag. Using the same gloved hands, the employee removed a hamburger bun from the package and subsequently reached into a bin to remove lettuce and tomato, placing them on a resident plate. This process was repeated for three additional resident trays, with the employee continuing to touch tray tickets, hamburger buns, lettuce, and tomato without changing gloves. During an interview, the Nursing Home Administrator confirmed that dietary staff should not have direct contact with resident food items after touching non-food items such as tray tickets and food packaging.
Plan Of Correction
1. Employee 1 was provided education on not touching nonfood items with the same gloves as touching food items. 2. Observational audits of meal service (tray line) for 3 meals per day x 3 days to ensure appropriate sanitary service. 3. Education was provided to the dietary staff on proper procedure on performing tray line. 4. 2 weekly observations of tray line will be conducted weekly x 4, then monthly x 2 by NHA or designee. Results of this audit will be presented to the QAA committee for review. 5. The facility will be in substantial compliance by 1/7/25.