Failure to Serve Cold Foods and Beverages at Safe Temperatures
Penalty
Summary
The facility failed to provide cold foods and beverages at acceptable palatable temperatures for five residents reviewed for food preparation and quality. Multiple residents reported that items intended to be served cold, such as orange juice and milk, were instead served warm. One resident received a breakfast tray with milk and orange juice at 9:37 AM but did not return from dialysis until 11:30 AM, by which time the items were no longer at a safe temperature. Other residents also stated that their cold foods and drinks were served warm, and the quality was poor. Observations during tray line service revealed that deli sandwiches were placed next to the steam table, and a ham sandwich tested at 70 degrees Fahrenheit. Sandwiches also showed signs of poor quality, such as wilted lettuce and melting cheese. Temperature checks conducted by facility staff confirmed that cold beverages were not maintained at appropriate temperatures, with orange juice and milk measuring above the required 41 degrees Fahrenheit. The dietary manager acknowledged that the juice dispenser was not keeping juices cold, and the dietitian confirmed that cold items should be at 40 degrees Fahrenheit at the serving station and at least 45 degrees at point of service. Facility policy requires cold foods to be maintained at 41 degrees Fahrenheit and served at 40-45 degrees for palatability, but these standards were not met during the survey period.