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F0812
E

Improper Dishwashing Practices and Testing in Facility

Stillwater, Pennsylvania Survey Completed on 12-19-2024

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to adhere to professional standards for food service safety, specifically in the operation and monitoring of their dishwashing process. During an inspection, it was observed that dietary staff members, Employees E13 and E14, did not conduct a test load of dishes nor use sanitizer testing strips to verify the concentration of the final rinse water when operating the dish machine. This machine operates as a low-temperature unit, relying on chemical sanitation, which necessitates precise monitoring to ensure effective sanitation. Further investigation revealed that the Dietary Assistant, Employee E12, used incorrect test strips, specifically 'QAC QR' test strips, which are intended for measuring Quaternary Ammonium Compounds, rather than the required chlorine test strips. This error resulted in the test strips not changing color, indicating a failure to measure the chlorine concentration accurately. The Food Service Director confirmed that the correct procedure was not followed, highlighting a lapse in proper sanitation practices within the facility.

Plan Of Correction

1. There were no negative outcomes to residents of Cheltenham Nursing and Rehab as a result of not utilizing correct sanitation test strips for the dish machine. 2. On 12/19/2024, the Dietary Manager obtained the proper sanitation levels of the dish machine using the correct test strip. 3. On 12/19/2024, the Dietary Manager educated the dietary staff on the proper method of testing the dish machine sanitation levels, utilizing the proper test strips and accurately completing the sanitation log. 4. The Dietary Manager will label the test strips to make certain that the proper strips are being utilized. 5. The NHA/designee will conduct audits of sanitation logs 3x per week for 4 weeks and monthly for 3 months.

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