Failure to Implement Water Management and Food Handling Infection Control Policies
Penalty
Summary
The facility failed to implement its water management policy as required to prevent the presence of microorganisms, including legionella, in its water system. Review of the Chlorine Check off Sheets for multiple facility areas revealed that water flow rates had not been tested since late the previous year, despite policy requiring quarterly checks. Additionally, water temperatures recorded in all areas were below the policy-mandated minimum of 122 degrees Fahrenheit, which is necessary to inhibit the growth of legionella and other pathogens. The Maintenance Director confirmed these lapses, acknowledging that the required water flow rate checks and temperature thresholds had not been met. In a separate incident, a CNA was observed assisting a resident with a meal and handled a hamburger patty with her bare hand before handing it to the resident. The CNA confirmed during an interview that she had not used gloves or utensils when handling the food. These actions demonstrate a failure to adhere to proper infection control practices during food handling, as required by facility policy.