Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$29 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0812
E

Failure to Maintain Clean Kitchen Equipment and Food Service Areas

Windsor, North Carolina Survey Completed on 01-30-2026

Penalty

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.

Summary

The deficiency involves the facility’s failure to properly clean and maintain multiple pieces of kitchen equipment and surfaces in accordance with professional standards. During a continuous observation of the kitchen, surveyors noted white residue on the tops and bottom inner surfaces of two meal carts, while the Dietary Manager stated the carts were cleaned weekly. Cloudy white oil and food crumbs were observed inside and around the deep fryer, despite the Dietary Manager reporting it had last been cleaned several days earlier and that shrimp had been fried the previous evening, after which it should have been cleaned. Brown and white substances were seen on the inner bottom surface and bottom doors of the tray line cooler, and a buildup of yellow and white flaky material was present on top of the dishwasher. Additional unclean conditions were observed on kitchen walls, equipment, and storage areas. Drip marks were seen covering the wall behind the fryer, steamer, and convection oven; the Dietary Manager stated the wall could not be cleaned because the equipment was attached to gas lines and could not be moved. A black substance was observed around the edges of a large plastic bin holding steamer pans on the clean rack, and two full-size perforated steamer pans had a black substance on their inner surfaces, even though the Dietary Manager stated these items were no longer used but acknowledged they should not be dirty. A white liquid substance was found on the floor under boxes holding milk cartons in the walk-in refrigerator; the Dietary Manager reported she did not know how long it had been there, and a dietary aide stated he had seen the spill earlier but did not clean it up. Review of the Kitchen Cleaning Checklist Logs for December and part of January showed inconsistent and incomplete documentation of weekly cleaning tasks, with blank spaces and varying methods of recording dates and signatures. According to these logs, the deep fryer had not been cleaned since late December, the steamer had not been cleaned since an unspecified date in December, and the dishwasher had not been cleaned since mid-January. Staff interviews revealed that some cleaning tasks were not completed due to workload, with day and evening staff each indicating that missed cleaning was left for other shifts, and that some staff did not follow the assigned cleaning schedule. The Dietary Manager acknowledged that she did not consistently verify that assigned cleaning tasks were completed and that cleaning logs were not consistently posted or maintained during the holiday period, contributing to the unclean conditions observed in the kitchen and food service areas.

Long-term care team reviewing survey readiness and plan of correction

We Help Long-Term Care Teams Stay Survey-Ready

We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.

Discover our solutions:

An unhandled error has occurred. Reload 🗙