Deficiencies in Food Safety and Sanitation
Penalty
Summary
The facility was found to have significant deficiencies in its food and nutrition services department, particularly concerning food storage, preparation, and sanitation. Observations revealed that the low-temperature dish machine had not been fully functional since March 14, 2025, and the Director of Dietary Services was unable to demonstrate that the hypochlorite sanitizer was effectively sanitizing dishes and utensils. Additionally, the kitchen lacked a water softener, resulting in calcium and magnesium deposits on dome lids and plate holders. The dish room area had water damage, missing and broken tiles, and a buildup of food debris and sludge. The ceiling tiles above the dish machine and cooking areas were stained with food debris and grease, and the wall behind the dish machine showed signs of mold. Further issues were noted in the adjacent alcove, where water was constantly flowing onto the floor, creating a film of white, green, and black substances, and causing water damage to the wall. The walk-in refrigerator was heavily soiled with dirt, food spillage, and dust, and the reach-in refrigerator and freezer units were non-functional. The preparation sink and steam table were leaking water onto the floor, requiring staff to use bins to collect the water. These conditions indicate a failure to maintain professional standards for food service safety, as required by regulations.
Plan Of Correction
A - The heated pellet warmer was assessed and not able to be repaired. A replacement warmer was ordered and expected to arrive on 05/27/25. The steam table and bistro steam table were assessed and service call placed for repair. B - Audit of new/repaired equipment to ensure proper function once installed/repaired. C - Dietary manager educated on checking for proper food temperatures prior to delivery to residents. D - Weekly x 4 then monthly x 2 audits by dietary manager or designee to ensure foods are at proper temperature. Results discussed during QAPI meetings.