Failure to Provide Palatable, Safe, and Properly Handled Food
Penalty
Summary
The facility failed to provide food that was palatable, attractive, and at a safe and appetizing temperature during a lunch meal observation. Kitchen staff member A was observed not following proper handwashing procedures, often rinsing hands with water only and not washing for the required 15 seconds with soap. The staff member also handled food with bare hands, picked up food items directly, and then donned gloves without proper hand hygiene. Additionally, the staff member used gloved hands to pick up brisket from the serving bar and returned it to the steam table, served burnt rolls, and handled rolls and potatoes with bare hands while serving residents. Hot dog buns were left open in their package for an extended period. Temperature checks of the food revealed that several items were not maintained at appropriate temperatures. For example, the roast on a regular plate was measured at 120°F, potatoes at 101.8°F, and carrots at 122.9°F, all of which are within the temperature danger zone for food safety. Pureed and mechanical diet items also showed inconsistent temperatures, with some items above and others below the required holding temperature of 135°F. Observations further indicated that ten plates of food were left uneaten on the table, suggesting issues with food palatability and temperature. Interviews with staff confirmed a lack of adherence to food safety and hand hygiene policies. Kitchen staff member A acknowledged being trained years ago and recognized that not following policy could negatively impact residents' health and nutrition. The administrator and kitchen supervisor both stated expectations for compliance with food safety and hand hygiene protocols, referencing facility policies that require proper handwashing, glove use, and maintenance of safe food temperatures. Record reviews of facility policies supported these requirements, emphasizing the importance of hygiene and temperature control in food preparation and service.