F0814 F814: Dispose of garbage and refuse properly.
F

Improper Disposal and Maintenance of Garbage and Grease Interceptor

Willow Valley Center For Nursing And RehabilitatioWinston-salem, North Carolina Survey Completed on 08-29-2025

Summary

The facility failed to ensure proper disposal of garbage and refuse, as evidenced by observations of four dumpsters and one grease interceptor container overflowing with garbage and surrounded by various debris, including paper products, boxes, food items, mattresses, furniture, pallets, clothing, and a blanket. The grease interceptor container was also found leaking grease onto the ground and parking lot. These conditions were observed during an initial tour, with additional observations confirming that while some trash bags had been removed, the area remained littered with debris and grease. Interviews with the Dietary Manager, Administrator, Regional Consultant for Maintenance and Environmental Services, and Regional Director of Dietary Services revealed that housekeeping, dietary, and maintenance staff were all responsible for cleaning and maintaining the dumpster area and grease interceptor. However, it was acknowledged that the area had been in this condition for some time and that the grease interceptor had not been cleaned consistently for several months. There was also uncertainty regarding the last time the grease interceptor was cleaned, despite the expectation that it should be cleaned monthly.

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.

Resources

Below are regulatory guidelines relevant to this citation:

See other F0814 citations
Improper Dumpster Waste Disposal
E
F0814 F814: Dispose of garbage and refuse properly.
Short Summary

Improper Dumpster Waste Disposal: The dumpster area behind the kitchen had open doors on 2 dumpsters and trash left on the ground behind them, including iron bars and black trash bags. The MM stated anyone using the dumpsters was responsible for placing trash properly and closing the doors, but he had not been trained and had not seen a waste disposal policy. The ADM stated no one was assigned to monitor the issue and staff had not been trained on the task or reviewed the facility's dumpster use and waste disposal policy.

No penalty information released
tooltip icon
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.
Improper Garbage and Refuse Disposal
D
F0814 F814: Dispose of garbage and refuse properly.
Short Summary

Improper Garbage and Refuse Disposal: Surveyors observed a large lidless dumpster containing exposed facility trash bags and a small dumpster with an open lid exposing its contents to pests and wildlife. The Kitchen Manager acknowledged the conditions, and the Interim Certified Dietary Manager stated the large dumpster was a construction dumpster and should not have contained facility trash.

No penalty information released
tooltip icon
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.
Uncovered Trash Can in Food Prep Area
D
F0814 F814: Dispose of garbage and refuse properly.
Short Summary

Uncovered Trash Can in Food Prep Area: A 50-gallon trash can in the food prep area was observed about half full and without a lid while not in use. The Food Service Supervisor stated she was not aware the garbage can required a lid but would get one.

No penalty information released
tooltip icon
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.
Improper Dumpster Waste Disposal and Open Dumpster Doors
E
F0814 F814: Dispose of garbage and refuse properly.
Short Summary

Improper dumpster waste disposal and open dumpster doors were cited after surveyors observed two commercial dumpsters with their doors left open and an improperly trashed recliner chair left on the ground behind them. The HKS, MM, and ADM each described responsibility for keeping the area clean and closing the doors, and the facility policy required waste to be placed fully inside the dumpster and doors or lids to remain closed when not in use.

No penalty information released
tooltip icon
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.
Improperly Covered Outdoor Trash Receptacle
C
F0814 F814: Dispose of garbage and refuse properly.
Short Summary

Improperly Covered Outdoor Trash Receptacle: During a kitchen tour, the outside garbage receptacle was observed with three of eight lids open. Dietary staff, maintenance staff, and administrative staff all stated the dumpster lids should be closed when not in use, and the facility policy documented that outdoor trash receptacles would be kept covered.

No penalty information released
tooltip icon
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.
Unsanitary Outside Dumpster Area
F
F0814 F814: Dispose of garbage and refuse properly.
Short Summary

Unsanitary Outside Dumpster Area: Surveyors observed two outside dumpsters with litter and debris on the ground beneath them, including a soiled disposable brief, eggshells, an empty hand sanitizer container, and piles of brown debris. The DM stated they did not know which department was responsible for cleaning the dumpster area and acknowledged there should not be litter on the ground. A facility policy stated the area around outside dumpsters should be free from litter.

No penalty information released
tooltip icon
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.
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