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F0812
F

Multiple Food Safety and Staff Hygiene Deficiencies in Food Service Areas

Windsor, Colorado Survey Completed on 04-17-2025

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 store, prepare, distribute, and serve food in a sanitary manner in both the main kitchen and two kitchenettes. Surveyors observed that refrigerators were not maintained at the required temperature, with one refrigerator reading 46°F, above the regulatory limit of 41°F. Additionally, food items such as French fries, cheesecake mix, and barley were found unsealed and without open dates, contrary to both state regulations and facility policy. Staff interviews confirmed that these practices did not align with established procedures for food storage and temperature control. Further deficiencies were noted in staff hygiene and attire. One cook was observed serving food without wearing a beard net, despite having visible facial hair protruding from under a surgical mask. Another staff member was seen serving lunch while wearing fake nails and no gloves, which is not permitted unless gloves are worn. Additionally, the same staff member wore a smart watch while serving food, which is prohibited by state regulations and not addressed in the facility's current policy. These findings were corroborated by interviews with the dietary manager, registered dietitian, and assistant dietary manager, who acknowledged the lapses in compliance with both state regulations and facility policies. The report did not mention any specific residents affected or provide details about their medical history or condition at the time of the deficiencies.

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