Failure to Train Staff on Safe Food and Beverage Heating Procedures
Penalty
Summary
The facility failed to ensure that all direct care staff were properly educated and trained on the facility's policy and procedure regarding the safe heating and reheating of food and beverages. This failure was attributed to the inactions of the Commandant and the Director of Nursing (DON), who did not fulfill their job responsibilities to manage and control health-related activities and ensure a safe environment for residents and staff. The Commandant was responsible for operating safety programs in accordance with agency, state, and federal standards, while the DON was responsible for communicating and ensuring understanding and implementation of facility policies and procedures among nursing staff. A review of job descriptions and clinical records revealed that the Commandant and DON did not provide the necessary education and training to direct care staff on safe food and beverage heating practices. As a result, residents were placed in Immediate Jeopardy due to the risk of burns from improperly heated food and beverages. The report cites specific state regulations that were not followed, highlighting the failure of facility management to ensure compliance with required safety and training standards.