Failure to Maintain Safe Food Storage Temperatures in Unit Refrigerator
Penalty
Summary
The facility failed to store food in a safe manner in a nourishment refrigerator on one of its resident units. Review of the refrigerator temperature logs for the unit revealed that, on multiple dates, the recorded temperatures were above the recommended maximum of 41 degrees Fahrenheit, with specific readings of 46, 42, 48, and 46 degrees Fahrenheit on consecutive days. The State Operations Manual defines the 'Danger Zone' as food temperatures above 41 degrees Fahrenheit and below 135 degrees Fahrenheit, which can allow the rapid growth of pathogenic microorganisms. Staff interviews indicated uncertainty about the correct temperature range, with some staff believing the acceptable range extended up to 45 or 46 degrees Fahrenheit. The night shift staff were responsible for monitoring and recording refrigerator temperatures, while the unit manager was responsible for ensuring this was done. Interviews with the CNA, LPN/Unit Manager, DON, and Administrator confirmed that staff were expected to monitor and document refrigerator temperatures and report any concerns to supervisors or maintenance. However, the logs showed that the refrigerator was repeatedly above the safe temperature threshold, and there was a lack of clear understanding among staff regarding the correct temperature range. The Director of Nursing clarified that the appropriate refrigerator temperature should not exceed 41 degrees Fahrenheit, but this standard was not consistently met or enforced on the unit.